Deficiencies in Facility Environment and Maintenance
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by several observations made during a survey. In six of the 27 resident rooms observed, issues were noted such as unsmooth and peeling paint on walls, dust and debris covering standing fans and A/C vents, and uncovered fluorescent bulbs in entryways. Additionally, some rooms had missing light bulbs, unpainted plaster on bathroom walls, and leaky faucets in bathroom sinks. Further observations revealed that call light pull cords were improperly wrapped around grab bars in bathrooms, which could potentially hinder their use. These deficiencies were acknowledged by the Director of Maintenance, who had been at the facility for 1.5 weeks, and the Administrator, who had started the week of the survey. Both acknowledged the findings during a side-by-side tour of the facility with the surveyors.
Plan Of Correction
Light bulbs replaced in Light covers replaced in and 24, 33 Standing fan cleaned in Walls smoothed and painted in Leaking faucet fixed in , and Call light pull cord removed from grab bar in Resident room environmental rounds completed by Administrator and Maintenance Director. Inservice Administrator and Maintenance Director on preventative maintenance rounds and correcting maintenance concerns. Administrator or designee to perform resident room environmental rounds weekly for 30 days, and monthly ongoing. Administrator or designee to report findings of environmental rounds to QAPI committee meeting monthly.