Failure to Maintain Safe and Homelike Environment and Replace Lost Belongings
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for four residents. One resident reported missing three shirts, which were not replaced or reimbursed by the facility despite being reported to staff. The Social Services Director stated the shirts were not replaced because they were not listed on the belongings sheet, although the resident's belongings sheet did indicate shirts were present. The Administrator later acknowledged that the shirts should have been replaced. As a result, the resident did not have enough shirts for daily use. Additionally, three other residents experienced issues with the cleanliness and maintenance of their living environment. One resident and his roommate reported a leaking toilet, missing caulking, a missing baseboard, and cobwebs in the bathroom vent. Another resident reported a hole in the wall behind his door that had been present since admission. Observations confirmed these deficiencies, and staff interviews revealed that maintenance issues were not documented in the maintenance binder as required. The Maintenance Supervisor admitted to not having time to address these issues and not conducting regular room checks. The Director of Nursing confirmed that the environment should be visually appealing and that the reported issues should have been addressed.