Failure to Maintain Safe and Sanitary Resident and Shower Rooms
Penalty
Summary
The facility failed to maintain a safe, comfortable, and sanitary environment in multiple resident rooms and shower rooms, as evidenced by direct observations and resident interviews. Specific deficiencies included bathrooms with persistent water on the floor, stained and cracked flooring with exposed cement, mildew odors, damaged drywall and paint, missing trim with jagged edges, and deep gouges in walls and doors. In the shower rooms, there were missing tiles, cracked flooring, exposed concrete, black and brown substances on tiles, and significant soap scum buildup on handrails. These environmental issues were present in five out of eight resident rooms and two out of three shower rooms reviewed. Interviews with staff revealed that the maintenance director was not consistently informed of these issues due to a lack of regular facility rounds and reliance on staff to report problems through an electronic maintenance log. The maintenance director confirmed that room checks were only performed when residents moved or were discharged, and that ongoing issues were not being systematically identified or addressed. The administrator acknowledged that the expected process of daily rounds and regular interdisciplinary checks was not followed, resulting in these deficiencies being overlooked.