Failure to Maintain Safe and Homelike Environment Due to Unrepaired Fixtures and Surfaces
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by unrepaired broken bathroom sink faucets in multiple resident rooms, loose and broken door handles, and missing floor tiles in a public hallway outside the therapy room. Observations over several days confirmed that the bathroom sinks in two resident rooms had broken faucets with constant running water, and door handles in two other resident rooms were loose or broken. Additionally, a three-foot by three-foot area of missing tiles in a hallway was observed to be cordoned off with red cones but remained unrepaired over multiple days. Interviews with the Maintenance Supervisor revealed that there was no written plan for repairs, and maintenance issues were tracked informally rather than through documentation or a formal work order system. Housekeeping staff reported that they communicated repair needs verbally or via text, but did not document these issues. The Interim Administrator was unaware of the leaking faucets and stated that repairs should be reported and addressed through the facility's work order program. Review of facility policy confirmed the expectation for a safe and homelike environment, with necessary maintenance and housekeeping services to maintain a sanitary and comfortable setting.