Failure to Maintain Safe and Homelike Environment Due to Unrepaired Physical Damage
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by multiple instances of physical damage and disrepair in resident rooms. Specifically, one resident's bathroom door had a hole in the middle and another hole covered with a white substance, while two other residents' walls behind the head of their beds were missing crown molding and had paint chippings. Additionally, another resident's wall had a large hole. These deficiencies were directly observed by surveyors during their inspection. Interviews with facility staff revealed that the Maintenance Director was aware of the needed repairs but was limited by the availability of supplies, as the facility had discontinued its contract with a previous supplier and now relied on purchasing supplies from a retail store. The Administrator confirmed that staff are expected to submit work orders for repairs and that maintenance is responsible for addressing these issues, conducting daily rounds to identify problems. Facility policies and job descriptions reviewed by surveyors indicated that maintenance is responsible for timely repairs and coordination with outside vendors if necessary.