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F0584
B

Failure to Maintain Safe and Clean Resident Environment

Durham, North Carolina Survey Completed on 05-08-2025

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

Surveyors observed that the facility failed to maintain a safe, clean, and homelike environment in several resident rooms. Specific deficiencies included missing and scraped paint on doorways, bathroom doors, and walls; a red splattered substance on a wall; and a bathroom sink with a persistent black film. These issues were identified in three out of seven resident rooms reviewed on one of four halls. The observations were confirmed on two separate dates, indicating that the deficiencies were ongoing and had not been addressed between visits. Interviews with the Maintenance Director and Housekeeping Manager revealed that while there was an ongoing process to repaint and repair resident rooms, progress was slow due to resident preferences and competing maintenance priorities. The Housekeeping Manager acknowledged that certain cleaning tasks, such as removing the black film from the sink, required specific tools and had not been completed with routine cleaning. Review of work history reports showed no documented repairs for the affected rooms during the relevant period. The Administrator confirmed that there was an established cleaning process and that room improvements were being prioritized alongside other major repairs.

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