Unsafe and Unmaintained Resident Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, and homelike environment in two of four areas, specifically the 100-hall and 300-hall, affecting multiple bedrooms and residents. In several bedrooms and shared bathrooms, sinks were found to be loosely fitted to the wall, with some leaning forward severely and inadequately supported by makeshift wooden posts. One bathroom had a hole in the wall behind the sink, and another bedroom wall had a large hole and extensive, discolored scrapes and gouges. Additionally, a bathroom door was noted to be discolored and dirty, and another wall between beds was sunken with severe discoloration from previous repairs. These conditions were confirmed by both the Administrator and Maintenance Director during interviews. A resident reported concerns about the safety of using the bathroom with a wheelchair, fearing that the unstable sink could fall if a supporting post was dislodged. The Maintenance Director stated that the facility used an electronic system (Tels) for repair requests, requiring staff to submit maintenance issues through this system. However, the Maintenance Director indicated that no requests for the noted repairs had been received and that routine rounds had not identified these issues. The Administrator and Maintenance Director both verified the environmental deficiencies during interviews.