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F0584
E

Failure to Maintain Safe, Clean, and Comfortable Resident Environment

Silver Spring, Maryland Survey Completed on 04-16-2025

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

Surveyors identified multiple failures by the facility to maintain a safe, clean, and comfortable environment for residents. On several occasions, overflowing trash cans with bagged trash and cardboard were observed in a hallway closet, accompanied by strong, unpleasant odors. The trash cans and closet walls were dirty, with visible drip marks and black matter. Dirty carpeting with numerous dark stains, pieces of trash on the floor, and brown stains and drip marks on walls and handrails were also noted in resident hallways. Additionally, resident mobility equipment was found in an unclean condition with staining and debris, and furniture in a resident's room was missing drawer knobs. Further observations revealed significant maintenance issues. Multiple areas of damaged laminate flooring were present in main areas leading to the dining area and nursing station. The second-floor shower room had extensive deficiencies, including black substance on vents, a warped and damaged door, broken tiles, a rusty radiator touching the floor, peeling paint on the ceiling, and brown marks around light fixtures. Despite signage indicating a shower stall was out of order due to lack of hot water, the issue had persisted for over a year and a half, and the shower room continued to be used for resident bathing. Throughout the survey, these concerns were acknowledged by facility leadership, including the Director of Nursing, Director of Maintenance, and Regional Director of Nursing. However, no immediate corrective actions were observed during the survey period, and the environmental and maintenance deficiencies remained unaddressed, affecting the overall cleanliness and comfort of the resident environment.

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