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F0921
E

Failure to Maintain Sanitary and Comfortable Resident Environment

Harrisonburg, Virginia Survey Completed on 04-11-2025

Penalty

Fine: $116,624
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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

Facility staff failed to maintain a sanitary, clean, and comfortable environment in multiple resident rooms and bathrooms across several units. Observations revealed brownish/black substances on bathroom walls and trashcans, persistent soiling and sticky floors, and missing or damaged wall plaster with visible mold and musty odors. In several instances, these unsanitary conditions remained unaddressed over multiple days, despite daily cleaning schedules outlined by facility policy. Staff interviews confirmed that cleaning was not consistently performed as required, with some staff unaware of ongoing issues and others acknowledging that bathrooms had been in poor condition for extended periods. Residents reported ongoing concerns about the cleanliness of their rooms and bathrooms, with some expressing fear of using the facilities due to the level of filth and lack of cleaning. One resident noted a lack of paper towels for several days, requiring family to bring supplies from outside. Staff interviews further revealed communication barriers between residents and housekeeping staff, and a lack of follow-through on promised renovations and repairs, particularly in bathrooms where mold and water damage were present. Maintenance staff were not always aware of the problems, and the maintenance department had open positions, including a vacant director role, which contributed to delays in addressing these issues. Facility documentation confirmed that daily cleaning tasks were not being completed as required, with specific failures to clean toilets, sinks, floors, and to remove visible stains and debris. The administrator and corporate staff were made aware of these deficiencies during the survey, and acknowledged the poor state of repair and cleanliness in resident areas. The lack of consistent cleaning and maintenance resulted in unsanitary and uncomfortable living conditions for residents on multiple units.

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