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F0584
E

Failure to Maintain Safe, Clean, and Homelike Environment

Minot, North Dakota Survey Completed on 06-10-2025

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 multiple failures by the facility to maintain a safe, clean, and homelike environment for residents. Observations revealed issues in several resident rooms, including a non-functioning bathroom light that had been out for about two weeks despite being reported to staff, visible dust and debris on ceiling vents, soiled wallpaper, torn wallpaper, and missing or broken equipment such as a thermostat and a ceiling light cover. Some rooms had makeshift repairs, such as masking or painter's tape with dried paint on doors and window screens with holes patched by residents themselves. In one case, a privacy curtain was visibly soiled with what a resident identified as blood, and the curtain had not been cleaned or replaced as required by facility policy. Interviews with staff confirmed that cleaning and maintenance procedures were not consistently followed. The housekeeping supervisor acknowledged that privacy curtains are supposed to be cleaned weekly and when visibly soiled, but confirmed that a soiled curtain remained in place. Administrative staff admitted that painter's tape was not removed in a timely manner and that maintenance concerns, such as missing light covers and non-functioning lights, were not reported as expected. The facility's own policies and housekeeping checklists require regular cleaning, spot-cleaning of walls, and prompt attention to visible dirt or damage, but these standards were not met in the sampled rooms and storage areas.

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