Failure to Maintain Secure Drain Covers Creates Tripping Hazards
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment in two out of four hallways, specifically the 100 Hall and 400 Hall. Observations revealed that drain access covers in these areas were loose, with one cover on the 100 Hall sliding side to side and covers on the 400 Hall spinning around, creating potential tripping hazards. A resident reported that the drain cover had been loose for some time before it was secured, indicating the issue was ongoing. Interviews with facility staff revealed that the Maintenance Director was aware that the drain covers periodically became loose and created hazards, but did not include checking them as part of routine maintenance, only addressing the issue if noticed during walk-throughs. The DON stated she had not noticed the loose plate and acknowledged that uneven flooring could create tripping hazards. The Administrator also confirmed that the plates were not on the routine maintenance list and believed that floor cleaning equipment may have contributed to the problem.