Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable homelike environment in 16 out of 52 resident rooms and in three common areas across multiple wings. Observations over several days revealed multiple deficiencies, including bio growth on ceilings near fire sprinkler heads, brown rough surfaces over toilet seats, unfinished and unpainted walls, missing baseboards, broken drawers, broken toilets, pest feces in showers, and the absence of call light systems or lights in some bathrooms. Common areas also exhibited bio growth, loose ceiling tiles, and bio growth in lighting fixtures. Photographic evidence was obtained to document these findings. Interviews and record reviews indicated that the Director of Maintenance (DOM) did not conduct comprehensive facility surveys or submit reports to the Nursing Home Administrator. Maintenance issues were addressed through an electronic work order system, but there was no written policy for scheduled maintenance or for addressing bio growth. Facility documents showed that many maintenance issues, such as patched but unpainted walls and missing floorboards, were not tracked or addressed in the work order system. The facility's cleaning policy required cleaning of visibly soiled surfaces, but there was no specific policy for bio growth. No work orders were found addressing the observed deficiencies.