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F0584
E

Failure to Maintain Clean and Safe Resident Rooms

Raleigh, North Carolina Survey Completed on 05-08-2025

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 observed that the facility failed to maintain a safe, clean, and homelike environment in five out of seven resident rooms on one hall. Specific deficiencies included broken and dirty PTAC (heating and air conditioning) units, missing filters, units detached from the wall, and visible debris such as rubber bands and unidentified substances inside the units. Additionally, there were damaged floor tiles, dirty baseboards and flooring, and a broken electrical outlet cover. These issues were directly observed during a tour with the Maintenance Director, who acknowledged the need for repairs and cleaning in the affected areas. Interviews with the Maintenance Director and Housekeeping Director revealed that responsibilities for cleaning and maintenance were divided between their departments, with housekeeping cleaning the outside of PTAC units and maintenance handling the inside. Despite daily cleaning routines described by the Housekeeping Director, the observed deficiencies indicated that these routines were not effectively ensuring cleanliness and repair in the resident rooms. The Administrator confirmed expectations for cleanliness and equipment maintenance, but the observed conditions did not meet these standards.

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