Inadequate Ventilation in Soiled Holding and Shower Rooms
Summary
Unpleasant odors were observed in the Second Floor Unit Soiled Holding Room and a heavy musty odor was detected in the Second Floor Unit shower room during a survey. The Director of Maintenance reported that the motors servicing the ventilation systems in these areas were not powerful enough to remove the odors and required replacement. These findings indicate that the facility did not ensure adequate ventilation in one of its resident units, specifically affecting the soiled holding and shower rooms on the second floor.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
The facility failed to prevent pungent urine odors from permeating common areas and the dining room, affecting all residents. Observations and interviews confirmed the presence of these odors over several days, despite housekeeping efforts. The facility did not adhere to its policy on maintaining a homelike environment with pleasant scents.
Persistent Urine Odor in Common Areas and Dining Room
Penalty
Summary
The facility failed to ensure that pungent smells of urine did not permeate into common areas and the dining room, potentially affecting all residents. Observations over several days revealed a consistent presence of urine odor in the 300/400 hall nurses station/common area and dining room, as well as the 600 hallway. The urine smell was noted at various times of the day, with some areas also having a musty odor. Interviews with staff, family members, and the ombudsman confirmed the presence of these odors, despite the use of cleaning products and air fresheners by housekeeping staff. The facility's policy on maintaining a homelike environment, which includes pleasant and neutral scents, was not adhered to. The deficiency was identified during a complaint investigation, highlighting the facility's non-compliance with ensuring a clean and odor-free environment. The facility census at the time was 51 residents, and the issue was documented under Complaint Number OH00152901.
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release May 27, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.
