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F0921
D

Failure to Maintain Homelike and Well-Kept Resident Environment

Sanger, California Survey Completed on 05-01-2025

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

The facility failed to maintain a comfortable and homelike environment for two residents, as evidenced by direct observations and interviews. In one instance, a resident's bedroom wall had deep scratches, missing paint, and exposed white chalky building material. The resident expressed feeling unimportant and not listened to, attributing the lack of repairs to her financial situation. The resident's medical history included borderline personality disorder, muscle weakness, paroxysmal atrial fibrillation, and hypertension. Both a Licensed Vocational Nurse and the resident confirmed the poor condition of the wall, with the nurse stating that the environment was not homelike. In another case, a resident's bathroom wall had a one-inch by one-inch hole, which was confirmed during observation and interview. The resident reported that holes and missing paint were present throughout the building and had never been repaired. A Certified Nurse Assistant acknowledged not noticing the hole previously and stated it should have been logged for maintenance, noting the potential for pest entry. The Maintenance Director confirmed that such issues should be recorded and repaired, and that the current state did not provide a homelike environment. Facility policies reviewed indicated requirements for regular maintenance inspections and a homelike, well-kept environment.

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