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F0584
E

Failure to Maintain Clean and Homelike Environment

Elizabethtown, Pennsylvania Survey Completed on 07-16-2025

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 on one of its nursing units, as evidenced by multiple observations and resident interviews. Several rooms were found to have overflowing trash, food crumbs, soiled items, and visible dirt or stains on various surfaces, including nightstands, baseboards, privacy curtains, and bathroom fixtures. Residents reported that housekeeping had not cleaned their rooms for several days, and nursing staff had not emptied trash cans. These environmental concerns were confirmed by the Nursing Home Administrator during walkthroughs, who acknowledged that the rooms required cleaning. Additional observations included soiled clothing and briefs left on the floor, strong urine odors, lifted floor tiles, and non-operational air conditioning units in common areas. The chapel and surrounding hallways were noted to have black wheelchair marks, dried patches, and food crumbs, with no evidence of recent cleaning. The presence of a dead vine growing into the building through a window was also documented. The facility's grievance log had previously recorded complaints about cleanliness and overflowing trash, further substantiating the ongoing environmental deficiencies.

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