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F0584
E

Failure to Maintain Clean and Homelike Environment

Sisseton, South Dakota Survey Completed on 06-18-2025

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 as required, with multiple observations of uncleanliness and disrepair in resident common areas. Surveyors observed food crumbs and debris on dining room floors, dirty tables, and persistent coffee-like stains on countertops. A pink foot soak basin with discolored standing water was repeatedly seen on the floor, collecting water from a ceiling leak, and missing ceiling tiles were noted around the leak. Stains and damage were also observed on carpeting throughout hallways and common areas, including large, visible stains and areas with missing or chipped paint, torn flooring, and missing trim. Interviews with dietary and housekeeping staff revealed confusion and lack of clarity regarding cleaning responsibilities, particularly after the evening meal. Dietary staff indicated they were responsible for wiping tables and sweeping floors after supper, while housekeeping staff stated they cleaned tables and floors after breakfast and lunch but were unsure who was responsible in the evenings. Maintenance staff acknowledged awareness of the roof leak and indicated plans to address it, but the issue persisted over several days as evidenced by repeated observations of the basin collecting water. A review of facility policies confirmed the expectation for a clean, orderly, and safe environment, with specific routines for cleaning floors, carpets, and congregate areas, and requirements for prompt attention to spills and damage. Despite these policies, the facility did not ensure that cleaning and maintenance tasks were completed as required, resulting in ongoing environmental deficiencies in areas frequented by residents.

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