Failure to Maintain Safe, Clean, and Homelike Environment for Multiple Residents
Penalty
Summary
Surveyors identified multiple failures by the facility to maintain a safe, clean, comfortable, and homelike environment for several residents. Observations included strong urine odors in two residents' rooms, a sticky bathroom floor, a resident's bed stripped of all linens on two occasions, and a dirty floor with stains and debris. Additionally, an oxygen concentrator was found covered with dust, including the air intake and filter area, and wallpaper was missing or torn behind a resident's headboard, with dried food particles present on the floor. Another resident's overbed table had cracked, raised, and peeling laminate, and water stains were observed on ceiling tiles above the bed. Interviews with staff revealed that maintenance requests for these issues were not documented in the facility's maintenance binder, despite facility policy requiring immediate reporting of such concerns. Staff confirmed the poor condition of the overbed table and the presence of ceiling tile stains, as well as the lack of maintenance requests for the damaged wallpaper and other environmental deficiencies.