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F0584
E

Failure to Maintain Safe, Clean, and Homelike Environment Across All Resident Areas

Beaver, Pennsylvania Survey Completed on 08-07-2025

Penalty

Fine: $19,140
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a clean, safe, comfortable, and homelike environment for residents across all ten resident areas, as evidenced by multiple observations and staff confirmations. Surveyors observed obstructions such as a table and chair placed in front of an exit door, damaged flooring, holes in lounge floors, dented and scratched doors, and exposed metal in various locations. Additional findings included black marks on shower room floors, torn and peeling wallpaper and trim, broken blinds, and corroded surfaces with food debris and dried liquids. Several bathrooms and resident rooms had structural damage, such as peeling plaster, broken tiles, and water leakage, as well as dirty or stained privacy curtains. Interviews with staff, including LPNs, nurse aides, the Dietary/Facility Manager, and the Director of Nursing, confirmed the presence of these deficiencies. Residents were directly affected, as in the case where a resident reported that the air or heat did not work due to an unreachable outlet and that water leaked from a pipe behind broken tiles when the toilet was flushed. Housekeeping and maintenance services were found lacking, with staff noting that certain areas had not yet been cleaned or repaired. The observations and interviews demonstrated that the facility did not maintain a sanitary, orderly, and comfortable interior as required by facility policy and federal regulations. The issues were widespread, affecting all resident areas, and included both environmental hazards and failures in routine maintenance and cleaning. These deficiencies were confirmed by multiple staff members and management during the survey.

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