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F0921
E

Failure to Maintain Safe and Sanitary Environment Due to Broken Equipment and Unsanitary Conditions

Detroit, Michigan Survey Completed on 05-13-2025

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 maintain a safe and sanitary environment, as evidenced by multiple observations of broken and unsanitary equipment and areas. Several residents were observed using wheelchairs with torn and ragged armrests, and one resident's wheelchair had uneven armrests. In the kitchen area, the walk-in freezer had approximately 5-6 missing floor tiles at the threshold, creating an indentation and a visible gap at the bottom of the freezer door, which led to ice accumulation and safety concerns. Delivery staff required assistance to move goods into the freezer due to the broken tiles. The Dietary Manager stated the threshold had been missing for over a year, and the Maintenance Manager indicated repairs were in process. Additionally, a double-deck steamer was non-functional, and a leaking faucet in the dish room caused water to overflow the sink. The nourishment rooms on both the first and second floors were found to be soiled and littered with paper and debris. The first-floor nourishment room had cracked floor tiles around the sink, creating an uneven surface, while the second-floor nourishment room had a 6x6 inch open hole in the wall, which was covered by a garbage can. The Dietary Manager reported that dietary staff monitored the nourishment rooms three times daily, but cleaning was the responsibility of housekeeping. Requested documentation regarding the broken equipment and safety concerns was not submitted to the Administrator by the time of the survey exit.

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