Facility Fails to Maintain Safe and Functional Environment
Penalty
Summary
The facility failed to maintain a safe, functional, and comfortable environment for its residents, as evidenced by several deficiencies observed during a survey. In Resident R49's bathroom, a dirty toilet with a brown substance and a soiled brief placed next to it were noted, along with a broken sanitizer dispenser near the resident's bedroom door. Resident R19's room had a broken baseboard near the table and a missing drawer on the left side of the desk, which was confirmed by Licensed Nurse, Employee E4. Additionally, Resident R10's room had a baseboard that was off the wall next to the restroom wall in the corner. The Maintenance Director, Employee E4, confirmed these observations and also noted a broken closet door in another room. Furthermore, during a laundry tour with the Housekeeping Director, Employee E11, a large hole in the floor near the industrial washing machine was observed, providing an open access point for pests.
Plan Of Correction
1. Resident R49 was immediately cleaned. The sanitizer dispenser near the resident's bedroom door was fixed. Multiple room repairs were made. 2. Hand sanitizers and rooms will be audited to ensure they are within compliance. 3. Staff will be educated on the components of this regulation with an emphasis on maintaining a safe and sanitary environment. 4. 5 Hand sanitizers and 5 rooms will be audited to ensure they are within compliance 1x week for 1 month, 2x a month for one month and then 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to QAPI monthly x6 months.