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F0584
D

Failure to Maintain Safe and Homelike Environment in Memory Care Unit

Keene, New Hampshire Survey Completed on 06-13-2025

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

Surveyors observed multiple deficiencies in the memory care unit related to the physical environment. Several resident room doorways were found to be chipped, scraped, and missing paint. In one room, the closet was missing a laminate piece in the lower corner, and a section of the lower wall had exposed sheetrock that was crumbling onto the floor due to the absence of a baseboard. Additionally, the floor in another room had 3-4 tiles lifting up in front of the bed, and a hole was noted in the hallway tile outside a resident room. The handrails along the main hallway were also observed to have faded paint and exposed wood, resulting in a rough surface. Interviews with staff confirmed these observations. A Licensed Medication Nursing Assistant acknowledged the conditions of the benches in the hallway and the issues in one of the rooms. The maintenance staff reported that a work order had been placed for the lifted tiles in one room since the previous month, but there were no work orders for the other observed deficiencies in the memory care unit. No information was provided regarding the medical history or condition of the residents in the affected rooms at the time of the deficiency.

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