Failure to Maintain a Homelike and Well-Kept Environment
Penalty
Summary
The facility failed to maintain a comfortable, well-kept, and homelike environment for four residents across all hallways, as evidenced by observations, interviews, and record reviews. Residents reported and surveyors observed issues such as dirty, scuffed, and damaged bedroom doors, with makeshift repairs using tape and rubber bands to secure kick plates and door handles. In one case, a privacy curtain was not moveable due to a detached track. Residents compared these conditions unfavorably to their own homes, stating that such repairs and damage would not be acceptable in their personal living environments. Additional deficiencies included broken sheetrock, peeling baseboards, and bubbled or peeling paint in resident rooms and bathrooms. Deep gouges in walls and falling sheetrock were also noted. These environmental issues were confirmed by both the facility's Administrator and Maintenance Director during a facility tour. The affected residents had varying degrees of cognitive impairment and medical conditions such as chronic kidney disease, hypertension, COPD, rheumatoid arthritis, congestive heart failure, diabetes, peripheral vascular disease, morbid obesity, epilepsy, muscle weakness, and mood disturbance.