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F0921
E

Failure to Maintain Sanitary and Safe Environment in Multiple Facility Areas

Kalamazoo, Michigan Survey Completed on 06-04-2025

Penalty

Fine: $80,30015 days payment denial
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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, functional, sanitary, and comfortable environment in multiple areas, as evidenced by direct observations and staff interviews. In the kitchen, worn and missing grout, as well as raised tiles under the dish machine and garbage disposal, allowed moisture to accumulate, creating conditions conducive to insect and bacterial growth. Multiple gnats were observed in these areas, particularly around an unused floor drain and sections with low grout. The lack of a functioning exhaust for the high-temperature dish machine further exacerbated moisture accumulation and humidity in the area. During a tour of resident care and utility areas, additional deficiencies were noted. In the B hall shower room, crusted white powder debris was found on the commode seat, and there was no paper towel holder or paper towels available. The shower bed had accumulated trash, debris, and staining under the mat, with care staff reportedly responsible for cleaning between residents. In the central supply room, boxes of briefs were stored directly on the floor, and shelving units were made of press-board that was not smooth or easily cleanable. The C Hall Soiled Utility room had vinyl coving that had fallen and lacked proper structural support, while the D Hall Soiled Utility room had a non-functioning exhaust fan, affecting the entire hall. Resident rooms were also found to be unsanitary and in disrepair. Observations included dried liquid spills and brown stains on floors and walls, cobwebs and dust on window sills and blinds, and dirty thresholds. One room had a wall bead strip detached and leaning against the wall, chipped paint on the heater, cracks on the wall, and exposed nails or screws. Housekeeping staff described a multi-step cleaning process but noted that rooms could be skipped if residents were present, and maintenance issues were reported through an electronic work order system.

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