Failure to Maintain Clean and Sanitary Shower Facilities
Penalty
Summary
On July 29, 2025, during an observation in the North hallway shower room, surveyors identified a black substance present on the floors, walls, wall joints, and ceilings of all three shower stalls. This substance was also found between the tiles and where the wall meets the floor and ceiling. Certified Nursing Assistant 1 confirmed that this shower room is used by all residents in the North hallway. The Environmental Services Director of Maintenance acknowledged the presence of the black substance and suggested it might be a buildup from shampoo oils and soap scum, noting that the ceiling issue was new to him since his employment began in April 2025. The Director of Nursing inspected the area and confirmed the presence of black substances, including black mold, on the tiles, walls, and ceilings, and stated that the showers were not suitable for resident use in their current state. A review of the facility's policy and procedure for routine bathroom cleaning revealed requirements for cleaning and inspecting for mold, which were not followed. Both the Administrator and the Environmental Services Director of Maintenance acknowledged that the facility's cleaning policies and procedures had not been adhered to.