Thrivecare Yarrow LLC

A relicensure survey was completed on 8/6/24. A deficiency was cited. Based on interview and record review, the residence failed to develop and implement an involuntary discharge grievance policy, affecting eight current residents.Findings include:1. Residence PolicyThe residence' s undated admission and discharge policy read in part: "The resident or resident' s legal representative shall have thirty (30) days advance written notice of discharge except in the cases of medical emergency. Or for the physical safety of the resident or others, in which case notice will be as soon as reasonably practicable. A copy of the thirty-day written notice shall be sent to the state or local ombudsman on the same day that it is provided to the resident. The resident or resident ' s legal representative has the right to call the state or local ombudsman or adult protective services for assistance."However, the residence failed to include the following required elements in the policy:(A) The ability for any of the persons the assisted living residence is required to notify in accordance with Part 11.16 to file a grievance challenging the involuntary discharge and/or reasons for the discharge with the individual designated in subpart (B), above, within 14 calendar days after written notice of the involuntary discharge is provided by the assisted living residence.(C) The ability for the resident, or other person to file a grievance to receive assistance in preparing and filing a grievance without interference from the assisted living residence.(D) A requirement that grievances related to involuntary discharge be submitted to the individual designated by the facility in accordance with subpart (A) as follows:(1) In writing, or(2) Orally submitted to the individual designated in accordance with subpart (A), above. In the case of an oral submission, the assisted living residence shall ensure the individual submitting the grievance retains proof of the oral submission through a witness or other evidence.(a) If the grievance is orally submitted and witnessed, the assisted living residence shall ensure that the resident or other person filing the grievance has the witness' s name..