Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment for its residents, as evidenced by multiple ongoing issues with cleanliness, maintenance, and environmental conditions throughout the building. Observations and interviews revealed that rooms and common areas were not consistently cleaned, with soiled floors, stained and bulging ceiling tiles, missing or broken furniture, and pervasive odors present in several locations. Residents reported that their rooms were not cleaned regularly, and some had requested repairs or replacements, such as new mattresses or blinds, which had not been addressed. Additionally, there were instances of missing or soiled privacy curtains, broken light fixtures, and debris such as used medical supplies found in hallways. Water temperatures in resident bathrooms and shower rooms were found to be below the required minimum of 105 degrees Fahrenheit, with several logs and direct measurements confirming that hot water did not reach appropriate or homelike temperatures. This issue persisted despite facility policies requiring regular monitoring and maintenance of water temperatures. The lack of adequate hot water was confirmed by both staff and administrative personnel during the survey. The facility also failed to maintain an adequate supply of clean washcloths for resident use, with observations confirming that some shower rooms had no washcloths available and laundry staff reporting frequent shortages. The absence of clean linens and washcloths further contributed to the lack of a clean and comfortable environment for residents. These deficiencies were confirmed by facility leadership during the environmental tour and through review of facility policies, which require a clean, sanitary, and homelike setting for all residents.