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F0584
E

Failure to Maintain Safe, Clean, and Homelike Environment

Milwaukee, Wisconsin Survey Completed on 07-11-2025

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

Surveyors observed that the facility failed to provide a safe, clean, comfortable, and homelike environment for several residents. In one room, a window shade was found crooked and held up with plastic hangers, leaving half the window exposed, and the wall opposite the beds had large patches of missing paint, including one area approximately 8 feet long by 6 inches. The shared bathroom for four residents contained an uncovered linen cart filled to the top, another linen cart, and a large garbage can, all contributing to a very strong smell of feces. Additionally, a resident's wheelchair was found to have dried, crusty food particles and other unknown brown, crusty matter on various parts, with the left armrest missing parts of its cushion and beginning to expose the metal underneath. Staff interviews confirmed that the cleanliness of the wheelchair was not acceptable and that arrangements would be made to clean and sanitize it. The LPN stated that the linen and garbage bins were kept in the bathroom for easy access by CNAs and were used for all residents' linens and garbage. The acting administrator acknowledged that the window shade and wall required maintenance and that the storage of containers in the bathroom was inappropriate and could pose an infection issue. No additional information was provided regarding why proper storage and maintenance had not been completed.

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