Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for two residents. For one resident with chronic obstructive pulmonary disease, chronic congestive heart disease, and acute kidney failure, an air conditioning unit was observed to be improperly installed in the room's outer wall, leaving a large gap through which the sky and surrounding buildings were visible. This issue was confirmed by the Maintenance Director during the observation. Another resident, who had a history of traumatic brain injury, kidney cancer, anemia, morbid obesity, hypertension, cerebrovascular accident with left hemiplegia/hemiparesis, bipolar disorder, depression, and anxiety, was found in a room with no pictures on the walls, no window coverings, and drywall at the top of the inner window frame hanging unattached. Additionally, the call system cord was on the floor and out of reach, and there was no call system box present in the room for the cord to be plugged into. These conditions were verified by both nursing and maintenance staff, as well as the facility administrator.