Widespread Environmental Deficiencies in Facility
Penalty
Summary
The facility failed to provide a safe, sanitary, and comfortable environment across all three nursing units, as evidenced by numerous deficiencies observed during a survey. On the first floor, issues included non-functional toilets in rooms 101 and 107, with the latter also having a floor mat with a strong odor. The second floor presented a range of problems, such as scattered black spots, holes in walls, stained and broken ceiling tiles, and dripping faucets in multiple rooms. Additionally, there were issues with missing or broken fixtures, such as toilet bar handles and dresser handles, and exposed drywall without paint or spackle. The third floor also exhibited significant environmental deficiencies. The shower room had hair and dirt covering the drain, and several rooms had broken or missing tiles, holes in walls, and unpainted spackle. In some rooms, the toilets were non-functional, and residents were observed laying directly on mattresses without sheets. Other issues included broken window blinds, missing curtains, and exposed heating elements in bathrooms. These observations indicate a widespread failure to maintain the facility in a condition that ensures the safety, sanitation, and comfort of residents, staff, and the public. The deficiencies were noted in various aspects of the facility's infrastructure, including plumbing, flooring, walls, and fixtures, affecting the overall living conditions for the residents.
Plan Of Correction
1. NHA, Maintenance, and housekeeping managers have reviewed the areas noted in the 2567. Facility have created work plans to address each of the areas based on priority with the maintenance teams. Facility have already started the process of renovating some of the rooms and areas noted in the 3/12/2025, 2567 DOH visit with an anticipated date of completion of 4/15/2025. 2. Once the areas in the 2567 are addressed, the environmental and maintenance team will conduct an audit of other resident care areas. NHA will create a phased plan, based on priority, to correct areas identified by the audit. 3. NHA/Designee will conduct education with housekeeping and maintenance department staff. Re-education will consist of best practices for maintaining a safe, functional, sanitary, and comfortable environment for residents, staff and the public. 4. NHA/Designee will conduct facility environmental round audits weekly x 4 weeks, then bi-weekly x 1 month.