Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for residents, staff, and the public in one of its secured units and in five of seven resident rooms reviewed. Multiple observations over several days revealed persistent issues, including strong urine odors and brown stained substances around toilets and shower room stalls, damaged drywall and wallboard, holes in walls, protruding nails and screws, missing closet doors, and sticky entry/exit doors. These environmental deficiencies were noted in both common areas and individual resident rooms, affecting the overall condition and comfort of the living spaces. Interviews with facility leadership confirmed awareness of these issues, and a review of the facility's Residents Rights documentation indicated that residents are entitled to a safe, clean, comfortable, and homelike environment. The presence of these environmental concerns demonstrates a failure to uphold these rights, as the conditions observed were not in line with the standards outlined in the facility's own policies.