Failure to Maintain Facility Environment in Good Repair
Penalty
Summary
Surveyors identified that the facility failed to maintain the physical environment in good repair, affecting six of nine residents reviewed for environmental conditions. Observations included crumbling drywall, unknown black substances (confirmed as mold in some cases), brown stains from water leaks, missing wall tiles, sinks pulling away from walls, deep gouges in walls, and base molding coming off near bathroom doors. In one instance, a large area of adhesive residue was left on a wall after a protective board was removed by a resident, and the adhesive was not cleaned up. These issues were verified by the Director of Maintenance during interviews, who acknowledged the presence of mold, water damage, and the need for repairs. The facility's preventative maintenance policy required the environment to be safe, functional, sanitary, and comfortable for residents, staff, and the public. However, the observed deficiencies, including mold, water damage, and unrepaired structural issues, demonstrated non-compliance with this policy. The findings were substantiated through direct observation, staff interviews, and resident interviews, and were investigated under a specific complaint number.