Failure to Maintain Facility Environment in Good Repair Due to Water Damage
Penalty
Summary
Surveyors observed that the facility failed to maintain the environment in good repair, as evidenced by multiple areas with significant water damage and disrepair. A large section of the ceiling in the second-floor dining room was missing, with yellow caution tape placed to prevent access underneath. In the second-floor hallway outside a resident's room, ceiling tiles were discolored, water was actively leaking into trash cans, and the tiles had a black substance resembling mold or mildew. On the third floor, outside another resident's room, ceiling tiles were also discolored from apparent water damage, and the carpet below was wet. Additionally, water was observed dripping from ceiling vents inside the doorways of 14 residents' rooms, with rust present on many vents and trash cans used to collect the leaking water. During interviews, the Maintenance Director confirmed that the ceiling collapse in the dining room occurred due to water damage and, while the leak had been repaired, the drywall had not yet been replaced. The Maintenance Director also verified ongoing water leaks in the hallway ceilings and resident room vents, all of which required repair. Review of the facility's policy indicated a requirement to provide a safe, clean, and comfortable environment, which was not met according to the findings. The facility census at the time was 64 residents.