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F0584
E

Failure to Maintain Clean, Safe, and Homelike Resident Rooms

Pekin, Illinois Survey Completed on 06-11-2025

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

Surveyors observed multiple deficiencies related to the maintenance and cleanliness of resident rooms, as well as the provision of a homelike environment. In one room, two residents had a window with no blinds and a curtain that could not be closed, a baseboard heater detached and lying on the floor, and a bathroom floor with a thick brown stain around the baseboards and toilet. Staff confirmed that the window had never had working blinds or curtains and that the bathroom floor had always been stained. Another resident's room was found with two cardboard boxes taped over the window using silver tape, reportedly to block out hot or cold air, as the blinds were ineffective. The Maintenance Director stated that repairs had not been made due to lack of funding. Additionally, a resident's room had a strong urine odor, a full urinal left on the bedside table, no fitted sheet on the bed, and a sticky, dirty floor. This resident had a diagnosis of schizophrenia and required staff assistance with activities of daily living and personal hygiene, as documented in the care plan. Further observations included a resident room without an air conditioning unit, with a recorded temperature of 76 degrees. Staff confirmed that temperature checks were not being conducted and that the room did not have central air conditioning, as the window unit had been removed and not replaced. The resident in this room had a documented preference for a very cold environment and had previously complained about the room being too hot. The facility's Resident Rights policy requires staff to provide services and advocate for resident rights, but these observations indicate failures to maintain clean, safe, and comfortable living conditions for several residents.

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