Failure to Maintain Safe and Homelike Environment Due to Unresolved Maintenance Issues
Penalty
Summary
Surveyors observed multiple deficiencies related to the facility's failure to provide a safe, clean, comfortable, and homelike environment for its residents. Several room doors could not be properly closed, even after repeated attempts by staff and surveyors. In one room, a board intended for the window sill was found lying on the floor by the resident's bed for over a month, and the platform for the window sill had hard, dried glue and a rough surface. Additionally, the bathroom call light in one room was not functioning, and a 4-plex electrical outlet was being used to power a dorm-sized refrigerator, a charger for a motorized wheelchair, and a charger for electronic devices, with reports of the outlet sparking when used. Review of facility work orders revealed that there were no open or active work orders for the affected rooms during the survey period, despite ongoing issues. Interviews with residents confirmed that maintenance requests had been made but not addressed in a timely manner. Staff interviews indicated that work orders were entered into the facility's TELS system, but repairs were not always completed promptly. The maintenance director confirmed that work orders were prioritized by urgency, but some issues, such as the broken windowsill and malfunctioning electrical outlet, persisted for extended periods before being addressed.