Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, safe, and homelike environment, as evidenced by multiple observations throughout the building. Surveyors found a missing section of handrail on one hall, with a wooden box containing plumbing parts only partially secured to the wall, and another hall with a broken handrail that had a sharp, exposed edge. Several ceiling tiles in different areas, including near the shower room and on a secured unit, were observed to have brown stains, black spots, cracks, and missing pieces. In the 300 hall, blankets were found pressed against a ventilation unit on the floor, with a puddle of water and brownish water seeping from under the flooring. The shower room contained a broken shower chair that was still in use, black discoloration between wall tiles, a cracked and damaged shower frame, and a hole in the ceiling near the toilet. A resident with multiple diagnoses, including congestive heart failure, pneumonia, kidney failure, diabetes, COPD, anxiety, depression, and schizophrenia, was found to have a room with significant physical damage. The wall between the closet and dresser was missing pieces, partially covered by a screwed-in material, but still rough and incomplete. The edge of the wall near the door frame was breaking off, and the flooring outside the room was missing a section. These deficiencies were confirmed by various staff members during the survey. The facility's policy requires a safe, clean, and comfortable environment, but these conditions were not met.