Failure to Maintain Sanitary and Comfortable Environment
Penalty
Summary
Facility staff failed to provide adequate housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment on two of three nursing units. Observations during the survey revealed multiple environmental concerns, including stained ceiling tiles, missing toilet paper, peeling laminate on bed headboards and footboards, peeling paint on window sills, missing strings for over-bed lights, rusted frames on toilet risers, and separated molding by windows. Several rooms had spackled walls that were not painted, further contributing to the lack of a homelike and well-maintained environment. Additionally, several residents were observed using wheelchairs with torn or cracked vinyl on the armrests, with some exposing the underlying foam padding. Interviews with the Maintenance Director indicated that he had only recently started in his role and was the sole maintenance staff member, occasionally receiving assistance from housekeeping. The facility had recently implemented a new system for reporting repairs, but these environmental deficiencies persisted at the time of the survey.