Failure to Maintain Safe and Homelike Environment Due to Unresolved Maintenance Issues
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple unresolved maintenance issues. Maintenance Care Logs from January 2024 to the present documented over 500 reports of malfunctioning televisions and remote controls, with many not repaired in a timely manner and some delays lasting several days. One resident's family reported on multiple occasions that the resident did not have a functioning television in their room, and another resident stated that televisions did not work each time they moved rooms. The Director of Maintenance confirmed that television repairs were often delayed due to prioritization of other issues and limited staffing, with only maintenance staff able to replace batteries for remotes. Additionally, a resident reported that their closet door had been broken for over two years, requiring them to prop it closed with a chair to prevent it from falling. Observations confirmed the door was not attached at the hinges and was being held in place by a chair. There were no documented work orders for this repair, and the Director of Maintenance stated they had not received a recent work order for the closet door. The Director also acknowledged that routine audits of rooms for safety issues were not being conducted, and the Administrator confirmed that while maintenance and housekeeping round on units, there was no formal tool in use to audit rooms for safety.