Failure to Maintain Safe and Clean Resident Environment
Penalty
Summary
The facility failed to maintain a safe and clean environment for its residents, as evidenced by multiple observations in resident rooms. In one instance, a resident with atrial fibrillation, congestive heart failure, hypertension, diabetes mellitus type II, and dementia was found to have an unpainted drywall area below the HVAC unit in their room, which was stained with a black substance. Another resident, admitted with cerebrovascular accident, hemiplegia, chronic obstructive pulmonary disease, diabetes mellitus type II, morbid obesity, alcoholic cirrhosis, and congestive heart failure, had a hole in the wall to the right of the television measuring approximately seven inches long and three inches wide. These deficiencies were confirmed by the Maintenance Director during an observation and interview. Additionally, a third resident with hemiplegia and hemiparesis following cerebral infarction, chronic obstructive pulmonary disease with exacerbation, and contracture of the left hand, was found to have a hole in the wall behind the door of their room, which had a towel stuffed into it. This was verified by the Assistant Director of Nursing during an interview. These findings demonstrate that the facility did not ensure the physical environment was properly maintained, resulting in unsafe and unclean conditions for multiple residents.