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F0584
D

Failure to Maintain Sanitary and Homelike Resident Room Environment

Petaluma, California Survey Completed on 09-11-2025

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 maintain a sanitary and comfortable environment in one of the resident rooms. Specifically, Bed A's privacy curtain was visibly soiled with a thick black substance dripping down in numerous areas. Both the Maintenance Assistant and the Administrator confirmed the curtain was dirty and acknowledged it should have been changed. The facility's policy on cleaning and repairing cloth furnishings indicated that such items should be cleaned regularly and repaired promptly, but this was not followed in this instance. Additionally, the ceiling vent above Bed C in the same room had a visible accumulation of a thick brown dripping substance. The Maintenance Assistant confirmed the vent was dirty and needed cleaning, and the Administrator agreed after viewing the vent. The facility did not provide a policy or procedure for cleaning vents in resident rooms. These deficiencies were observed in a room housing four medically fragile residents, potentially exposing them to unsanitary conditions.

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