Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations and resident and staff interviews. One door at the end of a hallway had a visible gap at the bottom, allowing outside elements such as heat, cold air, and potentially insects to enter, which was confirmed by a resident who reported discomfort and concern, especially during winter. Another resident's room had a window air conditioning unit that was not properly installed, leaving an open space to the outdoors, which the resident believed allowed spiders and insects to enter. The Director of Maintenance confirmed the improper installation. Further deficiencies were observed in the shower room, where broken tiles surrounded the drain, a blood-soaked item was found on the floor, a dried red substance was present on the wall, and the door had multiple scuffed and chipped areas. Additionally, in a shared bathroom, the baseboard was unattached, and in a resident's room, there was a large area of scraped paint and food particles scattered on the floor. These findings were verified by staff interviews. Facility policies reviewed indicated that residents have the right to a safe, clean, and comfortable environment, which was not upheld in these instances.