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F0584
E

Failure to Maintain Clean and Odor-Free Shower Rooms

Los Angeles, California Survey Completed on 05-06-2025

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 provide a homelike environment by not ensuring that two shower rooms were clean and free from urine odor. Observations revealed that both shower rooms had wet floors, soiled incontinent briefs in trash cans that were not properly sealed, and a persistent foul-smelling urine odor. These conditions were confirmed during multiple observations and interviews, including with a resident who reported disliking the use of the shower rooms due to the odor and visible soiled briefs. The resident stated that staff were aware of the issue but had not taken sufficient action to address it. A review of the resident's records indicated that she required assistance with activities of daily living and had intact cognitive skills. The facility's policy required a clean, sanitary, and pleasant environment, but the observed conditions did not meet these standards. The DON stated that showers were supposed to be deep cleaned twice daily and that staff were responsible for cleaning up after each use, including properly sealing soiled briefs, but these procedures were not followed as observed.

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