Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
Surveyors identified multiple failures by facility staff to maintain a safe, clean, and homelike environment for residents, as evidenced by direct observations and staff interviews. Numerous resident rooms and restrooms were found with significant maintenance and cleanliness issues, including spider webs, broken or missing laminate on window sills, cracked and damaged walls, peeling paint, exposed drywall, holes in doors and walls, loose or non-functional electrical outlets, and broken or missing shower fixtures. In several cases, attempts to repair damage were incomplete or used unidentified substances, and some areas had unidentified stains or substances present. Additional deficiencies included the absence of basic hygiene supplies, such as hand soap or sanitizer in shared restrooms, and non-functional lighting in resident restrooms. In the memory care unit, only one of three showers was operational, with the others having broken or non-functioning components. Several restrooms and resident rooms had missing or damaged shower curtains, cracked flooring, and loose or broken radiant heater covers. These conditions were consistently verified by interviews with LPNs, CNAs, and housekeeping staff, who confirmed the observations made by surveyors. The facility's own policy, dated February 2021, requires the provision of a safe, clean, comfortable, and homelike environment, but the observed conditions did not meet these standards. The issues affected at least ten residents, as confirmed by the facility administrator, and were investigated under two complaint numbers. No information was provided regarding the medical history or specific conditions of the affected residents at the time of the deficiency.