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F0584
D

Failure to Repair Resident Room Wall in Timely Manner

Joliet, Illinois Survey Completed on 04-25-2025

Penalty

No penalty information released
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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

A deficiency was identified when a resident's room was not maintained in good repair, as required by facility policy. The resident, who was cognitively intact and had multiple diagnoses including schizoaffective disorder and obesity, had a large piece of plywood covering a hole in the wall next to his bed. The hole was created when the resident accidentally kicked the wall while sleeping, and the plywood had been in place for approximately a year. The resident reported that he was told the wall would be repaired, but no timeline was provided, and the repair was not completed. Interviews with facility staff confirmed that the plywood had been covering the hole for 14 months due to an oversight by the Maintenance Director. The Administrator acknowledged that the hole should have been fixed and that leaving plywood on the wall for such an extended period was inappropriate. Facility policy states that the Maintenance Department is responsible for keeping the building in good repair and free from hazards, but this was not followed in this instance.

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