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F0584
E

Failure to Maintain Homelike and Clean Environment

Lakeport, California Survey Completed on 07-17-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyors observed that the facility failed to maintain a safe, clean, and homelike environment for its 57 residents. During multiple observations, carpeting throughout the hallways was found to be worn, matted with dirt, and stained in various sizes and colors, particularly at doorway entries. In several resident rooms, torn wallpaper and wall damage with exposed drywall were noted. Residents interviewed confirmed that the damage had been present for a long time and expressed dissatisfaction with the appearance of their rooms. The facility administrator acknowledged that most resident rooms had wall damage and torn wallpaper, attributing the damage to bed heads hitting the walls. The administrator also confirmed awareness of the old, stained carpeting and stated that the maintenance team was directed to clean it monthly. Additionally, the administrator recognized that the carpeting made it difficult for residents to propel their wheelchairs and for staff to move patient care equipment. The facility's own policy requires a clean, sanitary, and orderly environment to maximize a homelike setting, which was not met according to the findings.

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