Failure to Maintain a Homelike and Safe Resident Environment
Penalty
Summary
The facility failed to provide a homelike environment for one resident who had been admitted with asthma and congestive heart failure. The resident's care plan included interventions to minimize exposure to asthma triggers. However, a large section of sheet rock was missing from the wall behind the resident's bed, with debris and dust scattered on the baseboard and floor. The resident reported that the damage was caused by the bed hitting the wall and that it had not been repaired. Staff interviews confirmed that the wall had been in disrepair for at least five and a half to eight months. The Maintenance Director acknowledged awareness of the issue but stated repairs had not been completed due to other projects. The Administrator also acknowledged the wall was not repaired in a timely manner.