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F0921
D

Unsanitary Pantry and Eye Wash Station Due to Water Damage and Mold

Clearwater, Florida Survey Completed on 05-13-2025

Penalty

Fine: $18,070
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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 the South Wing pantry and its associated eye wash station in a safe and sanitary condition. During a facility tour, a strong musty odor was detected near the pantry, and upon entry, multiple areas of water damage were observed, including brown and black discoloration, mildew, and crusted material around the sink. Staff interviews confirmed the pantry had been unusable for approximately eight months due to the odor and suspected mold, with staff and residents avoiding the area. The refrigerator and snacks were relocated to a nearby activity room, which was then locked and inaccessible to residents, limiting their use of the space. The Maintenance Director reported a leaking pipe in the pantry wall, which was shut off two months prior, but repairs had not been completed. The eye wash station in the pantry, the only one on the South Wing, remained accessible but was located in an unsanitary environment. The DON acknowledged the importance of maintaining a clean environment for the eye wash station. The Nursing Home Administrator was unaware of the pantry's condition. Observations also noted dislodged wall covering, exposed wall innards, and water damage under a window A/C unit, as well as an ice maker that required replacement.

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