Failure to Maintain Safe and Homelike Physical Environment
Penalty
Summary
The facility failed to maintain the building and furnishings in good repair, affecting multiple residents, including one with chronic obstructive pulmonary disease and bipolar disorder who required assistance with activities of daily living. Observations revealed a large hole in the wall of this resident's room, which had been present since admission and had not been repaired despite requests. The resident and staff confirmed the ongoing disrepair, and the administrator acknowledged the damage was caused by a power wheelchair. Additional observations identified significant deterioration in common areas, including a built-in buffet cabinet in the resident lounge with missing baseboards, chipped wood, scuff marks, and cracked drawers. Staff noted the cabinets appeared moldy and had been in poor condition for several months. The walls and doors in the 300 and 400 halls also showed broken trim, chipped paint, and scuffing. Residents and staff confirmed the poor state of repair, and the administrator admitted repairs were not prioritized, stating that damage would likely recur. The facility did not have a policy regarding the physical environment.