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F0584
D

Failure to Maintain Clean and Homelike Environment

Council Bluffs, Iowa Survey Completed on 06-13-2025

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 that the facility failed to maintain a clean and homelike environment for its residents. Over several days, multiple dead June bugs were seen on the floor between exit doors near a resident room, and these were not removed despite repeated observations. Additionally, a family member reported that housekeeping had not cleaned her relative's room since admission, leading her to personally pick up debris from the floor and bathroom. Direct observations confirmed the presence of white debris by the resident's recliner, a white spot under chairs, and a brown stain running from the toilet bowl to its base in the bathroom. These conditions persisted over multiple days, even after the concerns were brought to the attention of facility leadership. Interviews with staff revealed that housekeeping is expected to clean resident rooms and bathrooms daily, typically with two housekeepers on duty, though sometimes only one is available. Despite these expectations, the staff member interviewed denied receiving any complaints from residents about cleanliness. The ongoing presence of debris and unsanitary conditions in the resident's room and bathroom, as well as the accumulation of dead insects in common areas, demonstrate a failure to provide a clean and safe environment as required.

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