Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
Rochester Residence and Care Center was found to be non-compliant with the requirements for maintaining a safe, clean, comfortable, and homelike environment as per 42 CFR Part 483, Subpart B. During an abbreviated survey conducted in response to two complaints, it was observed that five out of six nursing units, specifically lilac lane, rosewood, riverview, hilltop, and grandview, failed to meet these standards. Observations included ceiling cold air return vents covered in a dark grey fuzzy substance, visible cobwebs, ceiling light covers with a blackish substance, drooping ceiling panels, missing ceiling tile pieces, and water-stained ceiling tiles. The facility's policy on providing a safe and homelike environment, last reviewed on January 7, 2025, was not adhered to, as evidenced by the unsanitary and disordered conditions noted during the facility tour. Maintenance Employee E3 confirmed these observations and acknowledged the failure to maintain a clean environment in the newer part of the building. This deficiency was determined based on both observation and staff interviews, highlighting a significant lapse in housekeeping and maintenance services necessary to ensure a sanitary and comfortable living space for residents.
Plan Of Correction
1. Cold air return vents, ceiling tiles, and ceiling light covers were cleaned/replaced. 2. Education to EVS staff on a safe clean/homelike environment will be conducted by EVS manager or designee. 3. Audits of cold air return vents/tiles/light covers will continue weekly x 3 weeks and monthly x 2 months. 4. Results of audits will be submitted to facility QA process.