Failure to Maintain Safe and Clean Resident Bathroom Environment
Penalty
Summary
Surveyors identified that the facility failed to maintain a safe, clean, and homelike environment in one resident room, as evidenced by the presence of mold, water leaks, and physical damage in the bathroom. Observations revealed stained and mold-spotted ceiling tiles, a missing ceiling tile, and an unsealed gap in the concrete slab between floors. The baseboard cove molding was peeled off, exposing wall damage, and several floor tiles were missing or loose below the sink. A strong odor of urine was also noted in the bathroom. These conditions were directly observed during the survey. Review of the facility's work order system showed multiple entries for a clogged toilet in the same room over several months and a work order for a fallen ceiling tile, but no entries specifically addressing ceiling leaks. During interviews, the Acting Director of Maintenance was unaware of leaks in the room but acknowledged that toilet overflows sometimes affect rooms below. A resident reported a ceiling leak occurring a few months prior. These findings indicate that the facility did not provide adequate housekeeping and maintenance services necessary to ensure a safe and comfortable environment for residents.