Failure to Maintain Safe and Sanitary Shower Room Environment
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in one of eight shower rooms observed, specifically in the West Hall. Observations on multiple dates revealed a missing shower tile in the resident shower room, which was not promptly addressed. Interviews with the Maintenance Director and Administrator confirmed that staff are expected to report maintenance issues through work orders and that daily inspections of resident rooms should occur. The missing tile was acknowledged as a problem that could lead to structural damage if not repaired. Review of the facility's Preventive Maintenance Program policy indicated that all staff are responsible for inputting work orders to notify the plant manager of any non-working systems, with weekly and monthly inspections scheduled.