Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for its residents, as evidenced by insufficient seating in the day/dining rooms and inadequate cleaning and maintenance of resident rooms and common areas. Observations revealed that the first and second-floor day/dining rooms did not have enough chairs to accommodate ambulatory residents, resulting in some residents having to stand, sit on rollators, or lean on windowsills and heaters. Multiple residents reported difficulty finding seating, and staff confirmed the number of ambulatory residents exceeded the available chairs. Environmental issues were also noted throughout the facility. In one resident's room, there were black spots on the ceiling, bubbling paint on the wall, and a malfunctioning bathroom light that had not been repaired despite being reported. Other areas of concern included a hole in the second-floor hallway wall, chipped paint and stains in resident bathrooms, sticky and stained floors in dining rooms and hallways, and long-standing marks and smudges on walls and floors. Residents and staff reported that cleaning was not thorough, with some areas not being deep cleaned or stripped as needed, and maintenance issues such as water leaks and possible mold were not promptly addressed. Resident council minutes documented ongoing concerns about room cleaning, and interviews with housekeeping and maintenance staff indicated a lack of clarity regarding cleaning schedules and maintenance follow-up. Facility policies required regular environmental tours and quality control observations, but these were not effectively implemented, as evidenced by the persistent cleanliness and maintenance issues observed and reported by residents.