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F0921
E

Environmental Safety and Maintenance Deficiencies

Sacramento, California Survey Completed on 06-05-2025

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

The facility failed to maintain a safe, functional, and comfortable environment for its residents, staff, and the public, as evidenced by multiple deficiencies observed during survey. Several resident rooms had broken or missing wardrobe drawers, with residents confirming that these issues had persisted for extended periods and expressing a desire for repairs. Facility staff, including the contractor and administrator, acknowledged that all wardrobe drawers should be functional and easy to use, and facility policy assigns responsibility for maintenance to the Maintenance Director. Additional deficiencies were observed in resident bathrooms, including cracked toilet seats and missing or non-functional call lights. In some cases, the call lights had been missing for several days, and both staff and residents confirmed the absence of these essential safety devices. Residents and staff emphasized the importance of having accessible call lights in bathrooms for timely assistance and a sense of security. Facility policies require employees to report damaged items and ensure that call lights are functional and accessible. A further safety hazard was identified in a resident's room, where a broken windowsill with exposed nails was found on the floor next to the resident's bed. Staff confirmed the presence of this hazard and agreed it posed a risk to both residents and staff. The resident in this room had a recent history of an unwitnessed fall from bed. Facility policy requires the maintenance department to keep the building in good repair and free from hazards, but these observations indicate that this standard was not met.

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