Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0584
E

Environmental Deficiencies in Resident Areas

Holmes, New York Survey Completed on 04-04-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure a safe, clean, comfortable, and homelike environment for residents on the 2nd and 3rd floors, as observed during a recertification survey. On the 3rd Floor Unit, issues included a broken handrail endcap, a pervasive strong odor of urine, a broken dresser, a ripped chair, stained shower room walls, stained community bathroom tiles, cracked floor molding, gouged sheetrock, and visibly soiled privacy curtains. Additionally, the Community room floor had visible dust and debris, and baseboard moldings were cracked and soiled with wax buildup. Similar issues were noted on the 2nd floor, where baseboard moldings were also cracked and soiled with wax buildup. Interviews with staff revealed systemic issues contributing to these deficiencies. The Director of Housekeeping acknowledged the need for baseboard replacements and cited insufficient staffing as a reason for the lack of scheduled terminal room cleanings. They also noted that air fresheners had been removed due to painting, contributing to the urine odor. The Director of Maintenance admitted to not being aware of the broken handrail endcap and stated that maintenance staff did not routinely enter resident rooms unless issues were reported. They also indicated that housekeeping staff might not have been trained to report environmental issues, and regular audits were not conducted. Resident feedback corroborated the observations, with complaints about the cleanliness of the community bathroom.

An unhandled error has occurred. Reload 🗙