Failure to Maintain Resident Room in Good Repair and Sanitary Condition
Penalty
Summary
Surveyors observed that a resident room was not maintained in good repair and was not kept clean or sanitary. Specifically, there was a large hole in the wall near a resident's headboard with exposed sheetrock, and peeling paint above the PTAC unit extending the length of the unit. These issues were not reported to the Maintenance Director, who stated he was unaware of the damage and explained that staff are expected to submit maintenance slips for such repairs. The room remained in disrepair during multiple observations before repairs were eventually made. Additionally, the same room was found to have a strong odor of urine, an empty urinal on the floor, personal items and trash under the bed, a sticky substance and food crumbs on the bedside table, and food crumbs scattered on the floor. These unsanitary conditions persisted over several days. The housekeeper responsible for cleaning the room could not recall if she had cleaned it, and the Environmental Services Director reported significant staffing shortages due to call-outs and resignations, resulting in only one person being available to clean resident rooms. The Environmental Services Director did not notify management or corporate for assistance, and the Administrator was unaware that rooms had been missed during cleaning.