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F0584
E

Failure to Maintain Clean and Homelike Resident Environment

York, Pennsylvania Survey Completed on 09-11-2025

Penalty

No penalty information released
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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 maintain a safe, clean, comfortable, and homelike environment in resident rooms on two nursing units, as evidenced by multiple observations, resident complaints, and documentation. Facility policy requires daily cleaning of all resident areas, but observations over several days revealed dirty floors, accumulation of debris such as cereal and medicine cups, and grey fuzzy substances in corners and under furniture in several resident rooms. Residents reported that their rooms were not cleaned to their satisfaction, with specific mention that staff did not move furniture to clean underneath and that bathrooms and floors were only cleaned twice a week. Additional observations included dirty bathroom walls, brown film along baseboards, dust and debris on vents and televisions, and stained privacy curtains. Resident council minutes and the facility grievance log documented ongoing complaints about housekeeping, including unclean rooms and bathrooms. Interviews with residents confirmed that cleaning was not thorough or routine, with some areas like under dressers and tops of furniture being neglected. Physical observations also noted maintenance issues such as ripped wallpaper. These findings collectively demonstrate that the facility did not consistently provide a clean and homelike environment as required by regulation.

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