Facility Maintenance and Cleanliness Deficiencies
Penalty
Summary
The facility failed to effectively clean and maintain the physical plant, affecting 138 residents. During an environmental tour of the facility's laundry service, it was observed that two padded floor mats were worn and attached to the flooring with duct tape, and the flooring surface adjacent to the washers was damaged. Additionally, the corridor carpeted surface was stained and soiled near resident rooms. These conditions increase the likelihood of cross-contamination and bacterial harborage. Further observations during a common area environmental tour revealed several deficiencies. In the 200 Hall, a clean linen cart cover was threadbare, and in the 300-400 Hall, chairs at the nursing station and activity room were damaged, exposing inner padding. The main dining room was missing a chair railing, and the physical therapy hand sink faucet was loose. In the 500 Hall, light lens covers were soiled, and a shower wand assembly was missing a vacuum breaker. The 600 Hall had a soiled fan and cabinetry with food residue, and the dining room kitchenette had broken cabinet drawers. An environmental tour of sampled resident rooms revealed multiple issues, including non-functional light assemblies, soiled air conditioning unit filters, damaged drywall and laminate surfaces, and soiled bedding. The facility's manual work order system did not have specific entries related to these maintenance concerns, indicating a lack of effective tracking and resolution of maintenance issues. The facility's policies on cycle cleaning, maintenance inspection, and routine cleaning and disinfection were not effectively implemented, contributing to the deficiencies observed.