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F0584
E

Failure to Maintain Clean and Homelike Resident Environment

Webster, Massachusetts Survey Completed on 07-30-2025

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 and homelike environment for one resident and in 12 out of 15 rooms observed across two units. Specifically, the facility did not ensure that the 'room of the day' deep-cleaning was completed according to the established cleaning schedule. Observations revealed thick, dark gray dust on high surfaces such as overbed light fixtures and televisions in multiple rooms. A resident's representative expressed concerns about the lack of cleaning, and staff confirmed that the scheduled terminal cleaning had not been performed in the affected rooms. The Director of Housekeeping was unable to provide evidence of when these rooms were last terminally cleaned. Interviews with facility leadership, including the Director of Housekeeping, DON, and Infection Preventionist, revealed there was no process in place to monitor the cleanliness of the environment. The Administrator was unaware that the rooms had not been cleaned as scheduled and had not been informed when rooms were skipped. The DON recalled a previous family concern about high dusting areas but could not provide details. The failure to follow the cleaning schedule and lack of monitoring led to the observed deficiency in maintaining a safe, clean, and comfortable environment for residents.

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