Inadequate Ventilation Leading to Persistent Odor
Summary
The facility failed to have adequate and functional mechanically operated exhaust ventilation necessary to control moisture and odors, ensuring good air circulation to keep all parts of the facility odor-free. During the initial tour of the facility, surveyors noted a persistent ligneous malodorous smell throughout the second floor. This odor was consistently observed on multiple dates. A tour with the Maintenance Director revealed that all 10 intakes on the second-floor nursing unit were non-functional and vented to the outside using 2.5-inch PVC pipe without motors. The Maintenance Director confirmed the malodorous smell and suggested it might be coming from the carpet, although no carpet was observed in the secure unit on the second floor.
Penalty
Resources
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The facility failed to prevent pungent urine odors from permeating common areas and the dining room, affecting all residents. Observations and interviews confirmed the presence of these odors over several days, despite housekeeping efforts. The facility did not adhere to its policy on maintaining a homelike environment with pleasant scents.
Persistent Urine Odor in Common Areas and Dining Room
Penalty
Summary
The facility failed to ensure that pungent smells of urine did not permeate into common areas and the dining room, potentially affecting all residents. Observations over several days revealed a consistent presence of urine odor in the 300/400 hall nurses station/common area and dining room, as well as the 600 hallway. The urine smell was noted at various times of the day, with some areas also having a musty odor. Interviews with staff, family members, and the ombudsman confirmed the presence of these odors, despite the use of cleaning products and air fresheners by housekeeping staff. The facility's policy on maintaining a homelike environment, which includes pleasant and neutral scents, was not adhered to. The deficiency was identified during a complaint investigation, highlighting the facility's non-compliance with ensuring a clean and odor-free environment. The facility census at the time was 51 residents, and the issue was documented under Complaint Number OH00152901.
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