Legal & EthicalQuestion 195 of 200

A resident wishes to file a grievance about cold meals. The facility must:

a.Discourage the grievance to avoid CDPH scrutiny
b.Provide a written grievance policy, identify a grievance official, investigate, respond in writing within a reasonable time, and not retaliate; the CNA assists by forwarding the grievance to the appropriate person
c.Tell the resident only the administrator can hear grievances and only in writing
d.Refer all complaints to the family without resident input

Explanation

42 CFR §483.10(j) requires SNFs to provide a clear grievance policy, designate a grievance official, allow residents (and representatives) to voice grievances without discrimination or reprisal, investigate promptly, and provide a written decision. CA HSC §1599.2 reinforces resident bill of rights. The CNA forwards grievances, supports the resident, and never retaliates or discourages reporting (a, c). The resident may also contact the LTC Ombudsman, CDPH, or APS. Retaliation is grounds for citations and personnel action.

Law Reference: 42 CFR §483.10(j); HSC §1599.2

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