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F0921
F

Failure to Maintain Clean and Sanitary Carpeting in Facility Hallways

Willoughby, Ohio Survey Completed on 08-05-2025

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 the carpeting in the hallways of all units in a clean and sanitary condition, as observed during multiple walkthroughs. Surveyors noted that the carpeting throughout the facility was discolored and contained numerous black and brown stains of varying sizes in multiple locations, including near double doors, entrances to resident rooms, lounge areas, elevator lobbies, and outside utility rooms. These findings were confirmed during an environmental tour with the Environmental Service Manager and the Administrator, who both acknowledged the presence of extensive staining and discoloration. Interviews with the Environmental Service Manager revealed that while routine cleaning was performed by a floor technician, the age and condition of the carpeting prevented effective removal of the stains. The Environmental Service Manager was aware of the issue but was unsure if any steps had been taken to obtain quotes or initiate the process for carpet replacement. The Administrator also confirmed that no quotes had been obtained and no active plans were in place to replace the carpeting. Review of the facility's policy indicated that residents were to be provided with a safe, clean, comfortable, and homelike environment, which was not met in this instance.

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