Failure to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary, and safe environment for its 87 residents, as evidenced by multiple observations during an environmental tour. Surveyors noted stained and debris-laden carpets throughout resident rooms and common areas, holes in walls, dislodged air conditioning covers, partially secured wall trim, and broken telephone outlets. Additionally, supplemental tube feeding poles had dried tube feed residue, and several private bathrooms and bedding items were found with brown stains. Wet clothing was left on a bathroom floor, producing a strong musty odor, and multiple rooms had water stains on the ceiling, severely scratched and chipped walls, and crumbling areas above air conditioning units. Dirty, torn, and tattered fall mats were also observed in use. These findings were confirmed by the Maintenance Supervisor at the time of observation. The facility's own Environmental Services Cleaning Guidebook, which outlines cleaning methods for infection control and presentation, was in place but not followed as intended. The deficiency was identified during the investigation of two specific complaints and had the potential to affect all residents in the facility.