Failure to Maintain Safe, Clean, and Homelike Environment; Lack of Hot Water for Residents
Penalty
Summary
Surveyors identified multiple deficiencies related to the facility's failure to maintain a safe, clean, and homelike environment for residents. Observations revealed that in several resident rooms, toilet paper rolls were hung using trash bags tied to handrails or towel holders due to missing or broken toilet paper holders. Additional issues included nightstand drawers that did not fit properly or lacked knobs, missing door knobs on bathroom doors, and exposed holes. Several rooms had warped or cracked linoleum, missing or scratched paint, missing guest chairs, and exposed water shutoff valves. These maintenance concerns were observed over multiple days and confirmed by staff interviews, with staff reporting that maintenance issues were to be reported via an online platform, but the Director of Maintenance was unaware of the problems until the survey walkthrough. Further deficiencies were noted in the cleanliness and organization of common areas, including the resident shower room, clean utility room, and soiled utility room. The shower room contained a basin on a trash can, wheelchair pedals, a mop and broom, trash on the floor, a brown substance on the toilet seat, and various personal items and towels scattered in the tub and on the floor. The clean utility room had a used glove on a bin, incomplete paint, missing floor tiles, and staff personal items stored inappropriately. The soiled utility room had a sink full of dirty water, soiled shelves, and miscellaneous items. The Housekeeping Director acknowledged the challenges in monitoring and maintaining cleanliness in these areas. Additionally, residents reported being without hot water for three days, confirmed by surveyors who found water temperatures in several rooms to be significantly below acceptable levels. Residents stated they had to bathe with cold water, and staff confirmed the administration was aware of the issue. Temperature logs showed a drop in water temperature, and the facility was in the process of addressing the problem. During this period, residents were transferred to other units for showers, and water was warmed for bed baths as needed.