Failure to Maintain Sanitary and Comfortable Environment Due to Ongoing Water Leaks and Unsanitary Conditions
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment on one of two nursing floors observed. On the first floor, an ice machine located between the nurse's station and a resident room was found to be leaking water onto the floor. A white towel and a blue gown were placed on the floor in front of the machine, and parts of the flooring in this area were peeled off, exposing the understructure. Behind the ice machine, water was pooling, and specks of a black substance were observed on the floor and wall. Staff interviews confirmed that the ice machine had been leaking periodically for at least two months, with multiple work orders and repairs documented, but the issue persisted. Inside a resident's room adjacent to the affected area, the floor near the doorway was wet and covered with white sheets, and a yellow caution sign was propped against the wall. The bathroom in this room had a toilet with no tank cover, dried dark brown substance caked on the toilet seat, and the toilet bowl was filled with feces and tissue paper. The resident in the room, who had a diagnosis including schizophrenia and moderately impaired cognition, was present during the observation but did not respond to the surveyor. Staff interviews confirmed awareness of the ongoing water leakage and its impact on the resident's room.