Environmental Safety and Maintenance Deficiencies in Resident Rooms and Memory Care Unit
Penalty
Summary
Multiple resident rooms, including rooms 205, 206, 207, 208, 211, and 213, were found to have environmental deficiencies that compromised safety and functionality. Observations revealed broken plastic glove holders, ripped flooring near resident beds, broken or missing dresser drawers, broken blinds, and malfunctioning thermostats. In some rooms, handrails outside entry doors were missing end pieces, exposing sharp edges, and showers were used for storage of unrelated items such as foam pads and cushions. Additionally, walls were found to be dirty with substances present, and strong urine odors were detected in certain rooms. Further inspection of the Memory Care Unit identified additional concerns, including filthy dust build-up on ceiling vents, broken light coverings, stained ceiling tiles, and gaps around sprinkler heads. Interviews with facility staff confirmed that maintenance issues were to be reported by CNAs and nurses through an electronic system, and that only one maintenance person was currently available. The Director of the Memory Unit acknowledged the environmental and safety concerns during the survey.