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F0584
E

Failure to Maintain Clean and Homelike Resident Rooms

Elizabeth City, North Carolina Survey Completed on 05-21-2025

Penalty

Fine: $16,720
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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

The facility failed to maintain a safe, clean, and comfortable environment for residents, as evidenced by multiple observations and resident interviews. Six resident rooms on one hall were found to have issues such as sticky floors, strong urine odors, encrusted brown matter, trash, and dust accumulation around baseboards and under furniture. Residents consistently reported concerns over several months in Resident Council meetings, noting that housekeeping staff were not adequately sweeping, mopping, or cleaning under beds and furniture, and that trash was sometimes left unemptied. Specific rooms were observed to have additional structural issues, including broken floor tiles, holes in walls, missing caulk, and damaged drywall. Interviews with residents confirmed dissatisfaction with the cleanliness of their rooms, with several stating that housekeeping did not clean thoroughly, particularly under beds and around furniture, and that floors remained sticky and stained. Some residents reported having to request that housekeepers clean specific areas, such as under bedside commodes, and noted persistent odors and visible debris. These concerns were echoed repeatedly in Resident Council meeting minutes over a period of nearly a year, indicating an ongoing problem rather than isolated incidents. Staff interviews revealed that the Housekeeping Director was responsible for ensuring cleanliness and described a daily cleaning routine that included sweeping, mopping, and bathroom cleaning, as well as a deep cleaning schedule that was not being accurately followed. The Maintenance Director stated that room issues were to be reported through an online system, but was unaware of some of the specific structural problems observed. The Administrator acknowledged that the deep cleaning schedule was not being properly implemented and that management staff were expected to report housekeeping and maintenance issues during daily rounds.

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