Deficiencies in Safe and Homelike Environment
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment for its residents, as evidenced by several deficiencies observed in 6 out of 27 resident rooms. Observations included unsmooth and peeling paint on the wall behind a bed, a standing fan covered with dust and debris, and uncovered fluorescent bulbs in entryways. Additionally, there were issues with cleanliness and maintenance, such as A/C vents covered with dust and debris, a lightbulb out in a bathroom, unpainted plaster on a bathroom wall, and leaky faucets in bathroom sinks. Further observations revealed a missing light bulb in an entryway and a call light pull cord wrapped around a grab bar in a bathroom. These deficiencies were acknowledged by the Director of Maintenance, who had been at the facility for 1.5 weeks, and the Administrator, who started the week of the survey. The report highlights the facility's failure to maintain a sanitary, orderly, and comfortable environment, as required by the regulations.
Plan Of Correction
F584/N110 Light bulbs replaced in Light covers replaced in Standing fan cleaned in 24, 33 Walls smoothed and painted in Leaking faucet fixed in 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.