Failure to Maintain Safe and Sanitary Resident Environment
Penalty
Summary
The facility failed to provide a safe and sanitary environment for residents, staff, and the public in 7 out of 19 rooms reviewed. Observations on the 100 Unit revealed multiple instances of environmental disrepair, including gouges in the walls near the baseboard behind a resident's bed, several basketball-sized gouges on a room's north wall, broken and partially missing window blind slats, and multiple rooms with broken closet doors and non-functional window blinds. During interviews, the Area Maintenance Director confirmed that 24 rooms are toured monthly to identify issues and that a technological system (TELS) is used for submitting maintenance work orders, with all staff expected to report problems. The Director acknowledged that the damaged and disrepaired items required repair. The DON provided the facility's maintenance policy, which states that maintenance should attempt to repair items as soon as possible.