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F0584
D

Failure to Maintain Safe, Clean, and Homelike Environment for Residents

Dunbar, West Virginia Survey Completed on 07-28-2025

Penalty

Fine: $66,123
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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

Surveyors observed that two residents were found in their rooms sitting in geri-chairs with dried food and other debris present on the chairs. Both residents were facing the wall, with no television or music playing, and appeared disheveled. Their rooms had a foul odor of urine, sticky floors, leftover food and utensils on the floor, and damaged equipment such as a torn fall mat and a broken nightstand handle. The residents' clothing was dirty, they had a noticeable body odor, and their hair was unkempt. These conditions were confirmed by staff present at the time of the survey, including nurse aides and a regional corporate nurse, who acknowledged the poor state of the residents and their environment. The staff interviewed on-site agreed that the residents appeared disheveled and that the rooms were not clean or homelike. The regional corporate nurse and the facility administrator both confirmed that the residents should have been showered, dressed in clean clothes, and that the rooms should have been cleaned. The observations and staff confirmations indicate a failure to provide a safe, clean, and comfortable environment for the residents, as required.

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