Facility Fails to Maintain Homelike Environment
Penalty
Summary
The facility failed to maintain a homelike environment across three nursing units, specifically on the 4th, 5th, and 6th floors. Observations revealed multiple deficiencies in resident rooms, including broken vents and dusty debris inside air conditioning/heating units in rooms 409 W, 410 W, 421 W, 423 W, and 424 W. Additionally, room 409 W had missing molding and holes around the night light, while rooms 401 and 425 had exposed tubing and black cables not in use. Dining rooms on these floors had brown vinyl flooring that was lifting and had worn black holes throughout. Further issues were noted in the form of walls with holes and scratches behind beds in rooms 511, 512, and other unnumbered rooms on the 5th floor, as well as room 607 on the 6th floor. These observations were confirmed by the Director of Nursing during an interview, acknowledging the facility's failure to maintain a homelike environment as required by regulations.
Plan Of Correction
By March 27th, 2025, the Maintenance Supervisor fixed the identified area noted in the 2567. All residents have the potential to be affected by this practice. The maintenance director will complete a house audit to ensure no other areas of the facility are affected. The Maintenance director will perform room inspections monthly and as needed to identify and address any needed repairs. Staff will report any identified concerns to the maintenance supervisor upon observation. Results will be reviewed by the Risk Management/Quality Assurance Committee until such time consistent substantial compliance has been achieved as determined by the committee.