Failure to Maintain Clean, Sanitary, and Homelike Resident Environment
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations of unsanitary and unsafe conditions in resident rooms. In one instance, a resident's room was found to have black and green mold spots under the sink cabinet, with the affected area measuring approximately 20 inches along the back wall and spots ranging from 0.5 to 3 inches in size and 7 to 11 inches in height. The flooring under the sink was cracked and stained. The maintenance supervisor confirmed the presence of mold due to water damage and stated there were no work orders for this issue, indicating a lack of timely response to maintenance needs. Another resident's room was observed to have soiled bed linens, a baby roach on the resident, damaged and stained walls, cracked and dirty floor tiles with brown residue, and a window sill with visible dirt and debris. The resident, who was cognitively intact but dependent for all activities of daily living, reported frequent issues with roaches and dissatisfaction with the room's cleanliness, stating that staff had not addressed their concerns. Housekeeping and administrative staff acknowledged the presence of pests, dirt, and the need for cleaning and repairs. Facility policies require a clean, sanitary, and homelike environment, but these standards were not met in the observed cases.