Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in two resident rooms. In one room, a towel was observed wrapped around the bottom of the toilet due to a leak that caused water to pool on the floor whenever the toilet was flushed. A CNA reported that she had notified maintenance about the issue, and the Maintenance Assistant confirmed he was aware of the problem and had ordered a part for the repair. However, despite the part arriving, the repair was not completed promptly. The Regional Director of Maintenance stated that leaking toilets should be fixed immediately and that staff are expected to purchase necessary parts without delay. In another room, two tiles were missing from the shower, exposing a pipe with brown discoloration. The Maintenance Technician was unaware of the missing tiles, as previous residents used the shower for storage, and the issue was not reported in the maintenance log. The housekeeper assigned to the room noticed the missing tiles but did not report it, believing it was outside her responsibilities. The CNA assigned to the room had not noticed the missing tiles, as she did not use the shower area. The facility did not have a policy related to maintaining a homelike environment, and staff communication regarding environmental issues was inconsistent.