Failure to Maintain Safe and Clean Flooring Throughout Facility
Penalty
Summary
The facility failed to maintain the building floors in a safe and clean condition, as evidenced by multiple observations of soiled, stained, cracked, and sunken flooring throughout various areas, including the front foyer, hallways, nurses' stations, and resident rooms. Specific issues included dark soiled areas, worn and scratched surfaces, scuff marks, cracked and sunken tiles, and sloping floors that posed a fall hazard. The carpeted areas near the dining room and nurses' station were also noted to have permanent stains, and the floor bordering the nurses' station was observed to slope downward, increasing the risk of falls for residents who ambulate in that area. These conditions were confirmed by both staff interviews and direct observation. Interviews with staff, including an LPN and the Housekeeping Director, verified awareness of the floor hazards, including the sloping floor and the presence of permanent stains. The Housekeeping Director reported that floors were scrubbed monthly and mopped daily, with carpets cleaned weekly, but acknowledged that some stains were permanent and deep cleaning may not occur routinely each month. The Administrator confirmed knowledge of the floor conditions and ongoing discussions with ownership about floor replacement, but was unaware of any formal plan or scheduled dates for repairs. The deficiency had the potential to affect all 66 residents residing in the facility.
Plan Of Correction
All residents were immediately reviewed and found to have no adverse effects. All residents have the ability to be affected. Flooring was immediately reviewed by the Administrator, Housekeeping Supervisor, and Maintenance Department to ensure floors were safe and clean. Housekeeping Supervisor immediately buffed all tile flooring. Maintenance Department replaced all cracked and chipped tiles by 5/30/25. Housekeeping Supervisor deep cleaned all carpeting on 5/22/25. Maintenance/Designee to monitor flooring weekly for 4 weeks to ensure compliance. Results to be reviewed in QAPI.