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F0584
E

Failure to Maintain Clean and Homelike Environment in Common Area

Council Grove, Kansas Survey Completed on 07-08-2025

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

The facility failed to maintain a clean, comfortable, and homelike environment in the common living area, as evidenced by multiple observations of strong urine odors and unsanitary conditions. Upon entering the facility, a strong odor of urine was detected, particularly in the A-Hall unit. A resident was observed sitting in a recliner with visibly wet pants and a saturated chair, both emitting a strong urine smell. Certified Nurse Aides used a sit-to-stand lift to assist the resident, confirming the saturation of both the resident and the recliner. Despite requests to housekeeping, the chair remained uncleaned for an extended period, and when it was eventually shampooed, it remained wet and stained hours later. Family members and staff corroborated the presence of persistent urine odors and noted a decline in cleanliness over the past several months. Staff reported using odor-masking sprays to address the smell. The facility was unable to provide a policy related to maintaining a clean, safe, and comfortable home-like environment for residents.

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