Failure to Timely Repair Cracked Window in Resident Room
Penalty
Summary
The facility failed to maintain a homelike environment by not ensuring the timely repair of a cracked bedroom window for one resident. The issue was first reported by the resident's representative during a care plan meeting, where concerns about a large crack in the window were raised. The facility's social worker communicated this concern to the administrative team on the same day. However, there was no evidence in the unit's maintenance request book that a formal request for repair was made at that time. The cracked window remained unrepaired for 84 days after it was initially reported. Interviews with facility staff revealed a lack of awareness and follow-through regarding the maintenance request. The maintenance worker only became aware of the issue after being informed by the administrator several weeks later, at which point the process to obtain a vendor for repair was initiated. Despite payment for the repair eventually being made, the window remained cracked and unrepaired at the time of the surveyor's observation. The resident involved had diagnoses including non-Alzheimer's dementia, depression, and PTSD.