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F0584
E

Failure to Maintain Clean, Safe, and Homelike Environment

Williamsville, New York Survey Completed on 05-07-2025

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 identified that the facility failed to maintain a safe, clean, comfortable, and homelike environment for residents on the second floor of the South Campus and the C Wing of the North Campus. Observations revealed dirty and sticky floors, stained ceiling tiles, window blinds with missing or damaged slats, and residue on shared bathroom sinks. In several resident rooms, there was food debris, sugar packets, tissues, paper, and other debris on the floors and under furniture. Unlabeled bedpans and wash basins were found on the floors of shared bathrooms, and some rooms labeled as 'detailed-full clean' still contained debris, soiled surfaces, and unclean bathroom fixtures. Stained and bowing ceiling tiles were also noted, and some rooms lacked proper window coverings, impacting privacy and the homelike atmosphere. Interviews with staff, including housekeeping aides, supervisors, CNAs, LPNs, and the Director of Housekeeping, confirmed that daily cleaning and maintenance expectations were not consistently met. Housekeeping staff acknowledged that rooms were not cleaned to standard, with some admitting that the conditions would not be acceptable for their own family members. Nursing staff and supervisors expressed concerns about infection control due to unclean floors, soiled bathroom fixtures, and improper storage of personal care items. Maintenance staff reported issues with replacing damaged blinds and ceiling tiles due to supply shortages, and acknowledged that these deficiencies detracted from the environment's cleanliness and safety. Residents also reported dissatisfaction with the cleanliness and comfort of their living spaces, describing their rooms as dirty, unhomelike, and lacking privacy due to damaged or missing blinds. Staff interviews further revealed that environmental concerns were sometimes reported but not always addressed promptly, and that staff shortages and supply delays contributed to the ongoing issues. The facility's own policies required regular cleaning and maintenance of resident rooms and environmental surfaces, but these standards were not upheld, resulting in unsanitary and unsafe conditions for residents.

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