Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by multiple maintenance and environmental concerns observed throughout resident rooms, dining areas, and hallways. Surveyors identified numerous issues, including damaged sheetrock and paint in the main dining room, cracked and missing floor tiles in the 100 Hall, a hallway exit door with a gap at the bottom allowing potential pest entry, and a bathroom door with splintered and unattached veneer. These deficiencies were confirmed by both the Maintenance Director and the Administrator, who acknowledged that such issues should have been reported and addressed. The Maintenance Director also confirmed that while maintenance priorities had been identified, there were no specific dates for completion, and the observed issues had not been scheduled for repair. Additionally, the facility failed to ensure a homelike environment in a resident's room, where three large indentations were found in the wall behind the bed. The resident, who was severely cognitively impaired with a BIMS score of three, was unaware of the damage. The Maintenance Supervisor admitted to not receiving any work orders for the room and, despite being responsible for monthly room rounds, had not identified the damage. There was also no documentation to show that room rounds had been completed, and the Administrator confirmed that the Maintenance Supervisor did not have time to perform these rounds. These failures contributed to an environment that was not adequately maintained or homelike for the residents.