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F0921
E

Deficiencies in Room and Shower Area Cleanliness and Maintenance

Xenia, Ohio Survey Completed on 05-23-2025

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

The facility failed to maintain a safe and clean environment in both resident rooms and common shower areas. In one instance, a resident's room was observed to have a large, approximately 12-inch circular hole in the wall behind the bedside dresser, with broken and crumbling drywall located near an electrical outlet. Additional damage included broken drywall with large cracks behind the resident's bed and black debris scattered on the wall underneath the window. Staff interviews confirmed the presence and persistence of these issues, with one CNA stating that the hole had been present for an extended period. The resident affected had severely impaired cognition and was dependent on staff for most activities of daily living. Further observations revealed that the shower rooms on two different halls contained a black substance scattered along the flooring near the walls. Both a CNA and a housekeeper confirmed the presence of this black substance in the respective shower rooms. These shower rooms are used by 19 residents, indicating a broader impact on the facility population. The findings were based on direct observations, medical record reviews, and staff interviews, and were investigated under a specific complaint number.

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