Failure to Maintain Clean and Well-Maintained Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary, and well-maintained environment, as evidenced by multiple observations of damaged and soiled areas throughout the building. Specific findings included a large, broken bubble of plaster/paint on a resident's ceiling, moderately soiled carpets, dried paint and stains on doors and floors, peeling and torn wallpaper, water stains, bulging and damaged baseboards, and holes in walls in several resident rooms. The elevator interiors were found to be scratched and dirty, with missing flooring and heavily soiled entryways. Hallways and walk-through areas near nurses' stations were observed to have heavy scuff marks, scratches, and dirt. These conditions were verified by both the Assistant Director of Nursing and the Administrator during facility tours and interviews. The deficiency affected eight identified residents but had the potential to impact all residents in the facility, which had a census of 64 at the time. The facility's policy required regular cleaning and prompt attention to visibly soiled or contaminated surfaces, but observations indicated that these standards were not met. The findings were confirmed through interviews with facility staff, including the Administrator and a CNA, who acknowledged the presence of the damage and lack of cleanliness in the affected areas.