Failure to Maintain Home-Like Environment Due to Damaged Screen Door
Penalty
Summary
A deficiency was identified when a resident was not provided with a home-like environment, as evidenced by a large hole in the sliding screen door of the resident's room. The resident, who was admitted with diagnoses including diabetes mellitus, hypertension, and hyperlipidemia, reported that the hole had been present since admission and had remained unaddressed for approximately four months. The resident was able to communicate and expressed awareness of the issue during an interview. Staff interviews revealed that a CNA noticed the hole but had not reported it, and the maintenance supervisor confirmed that monthly room checks were conducted, but could not provide documentation of repairs for the resident's room prior to the recent replacement of the screen door. The facility's policy required a safe, clean, and comfortable environment, but this was not maintained for the resident, as the hole in the screen door persisted for an extended period.