Failure to Maintain a Safe, Clean, and Comfortable Environment
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for all residents, as evidenced by multiple documented concerns and direct observations. Resident concern logs and Resident Council meeting minutes revealed ongoing issues with room cleanliness, sticky floors, and inadequate housekeeping, particularly on weekends. Several residents reported dissatisfaction with the thoroughness of room cleaning. During a facility tour, numerous deficiencies were observed, including broken toilet handles, stained and bubbled carpets, improperly hung or non-functional curtains, frayed and uneven walking surfaces, visible insulation accessible to residents, stained ceiling tiles, and dirty or stained bed linens. In one unoccupied room, a urinal containing urine was left unattended for several days after the resident had been transferred to the hospital. Interviews with facility staff confirmed that the carpet cleaning machines had been out of service for several months and the Housekeeping Supervisor position had been vacant, contributing to ongoing housekeeping challenges. Housekeeping staff acknowledged that daily cleaning was required but noted that non-emergent repairs were reported to maintenance and that curtain maintenance was their responsibility. Facility policies and cleaning logs indicated that all surfaces, equipment, and linens were to be cleaned daily, but these standards were not consistently met, as evidenced by the observations and resident complaints.