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F0584
E

Failure to Maintain Clean Ventilation Covers in Resident Bathrooms

Omaha, Nebraska Survey Completed on 04-10-2025

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 observed that the facility failed to maintain the cleanliness of interior and exterior ventilation covers in eight occupied resident rooms along the south hallway. During a walkthrough with the Administrator and Maintenance Director, it was noted that the ventilation covers in resident bathrooms were coated with a white and gray fuzzy substance resembling dust. The Administrator confirmed the presence of this buildup and acknowledged that the current practice was to clean the covers monthly or upon resident discharge, which was not sufficient to prevent dust accumulation. A review of facility cleaning documentation revealed inconsistencies, with some records undated and lacking clear evidence of when cleaning was completed. The facility's cleaning assignments included a general note to check and wipe vents, but did not specify the frequency or documentation requirements for cleaning ventilation covers. Additionally, the facility's policy on routine cleaning and disinfection did not address the cleaning of ventilation covers in resident bathrooms. The Administrator confirmed that both the cleaning assignments and policy lacked necessary specificity regarding these tasks.

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