Failure to Maintain Sanitary and Homelike Environment Due to Unrepaired Wall Damage
Penalty
Summary
The facility failed to maintain a clean, sanitary, and homelike environment for several residents, as evidenced by the presence of a hole in the wall underneath the bathroom sink shared between two rooms. This hole, located adjacent to plumbing pipes, was left open after maintenance staff accessed the plumbing to fix a clogged toilet. The Maintenance Supervisor confirmed that the hole remained open and acknowledged that flies could enter the facility through this and other gaps, such as opened windows and sliding doors. Multiple residents, including those with and without decision-making capacity, were observed in the affected rooms. Resident representatives and residents expressed concerns about flies entering the rooms, particularly for residents who sleep with their mouths open, increasing the risk of flies entering their mouths. The issue was reported to maintenance staff, who attributed the fly problem to openings in the facility, including the unrepaired hole in the bathroom wall.