Failure to Maintain Resident Rooms Free of Damage
Penalty
Summary
Surveyors identified that the facility failed to maintain resident rooms in a safe and homelike condition, as evidenced by the presence of holes in the drywall and torn wallpaper in the rooms of three residents. Observations revealed that one resident's room had two large holes and torn wallpaper on the wall beside the bed, which the resident confirmed had been present for a long time. Another resident's room had a large hole and torn wallpaper behind the bed, with the resident acknowledging the damage but unsure of its duration. A third resident's room also had a hole and torn wallpaper behind the bed, though the resident was unaware of the damage. Staff interviews confirmed the existence of these deficiencies in all three rooms. A review of the facility's maintenance work order log from June to August did not show any documentation that the holes or torn wallpaper in these rooms had been identified or reported. The facility's work order process requires staff to identify and log maintenance needs, but there was no evidence that this process was followed for the affected rooms. The deficiency was identified during a complaint investigation and affected three out of four residents reviewed for a homelike environment, with the facility census at 47.