Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
Surveyors identified that the facility failed to maintain a safe, clean, comfortable, and homelike environment for residents across all three nursing units. Observations included widespread issues such as peeling wallpaper and paint, cracked and stained ceiling tiles, broken or missing furniture parts, stained and soiled floors, and malfunctioning or dirty air conditioning units. Bathrooms were found with cracked tiles, stained or rusted toilet bowls, missing or damaged grab bars, and peeling paint. Common areas, such as dayrooms and shower rooms, also exhibited soiled and damaged furniture, missing grout, and rusted fixtures. These conditions were confirmed by both staff and residents, with some residents reporting that broken furniture and soiled conditions had persisted for extended periods without resolution. Staff interviews revealed a lack of consistent reporting and follow-up on maintenance issues. While a computerized work order system was in place, several staff members admitted to being aware of broken or damaged items but did not always submit maintenance requests. Housekeeping staff reported daily cleaning routines, but surveyors observed persistent soiling and debris, particularly in and around AC units and on furniture. Maintenance staff acknowledged that many of the environmental issues predated their employment and that repairs were often limited to what was immediately visible or reported. The Environmental Service Director and other staff confirmed that some cleaning and maintenance tasks, such as cleaning AC units and replacing filters, were not consistently performed as required. The facility had previously been cited for similar deficiencies and had submitted a plan of correction, which included staff education and regular audits of resident rooms and common areas. However, during the current survey, many of the same issues remained unaddressed, and staff acknowledged that corrective actions had not been fully implemented. Facility leadership, including the LNHA, confirmed awareness of the ongoing environmental concerns and acknowledged the poor condition of resident rooms, bathrooms, and common areas during the survey tour.