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F0921
E

Deficiencies in Laundry Maintenance, Documentation, and Environmental Cleanliness

South Pasadena, California Survey Completed on 07-24-2025

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

The facility failed to maintain proper cleaning and documentation procedures in the laundry area and did not ensure cleanliness in resident restrooms and rooms. Specifically, lint was found in the lint trap of one dryer during observation, despite facility policy requiring lint removal after each use or every three hours. The lint removal log for the specified date was incomplete, with a blank entry for a scheduled time, and staff could not explain the omission. Additionally, the laundry water temperature log contained a future-dated entry, indicating that the required temperature checks were not performed at the scheduled times, as confirmed by staff and the maintenance supervisor. In another instance, yellow-brownish fluid, identified as urine, was observed on the toilet seat riser chair and the floor in a resident restroom and adjoining room. The infection prevention nurse and DON confirmed that the presence of urine on these surfaces was unsanitary and not in accordance with facility policy, which requires a clean and safe environment for residents. The facility's policies on laundry maintenance, water temperature, and maintaining a homelike environment were not followed as observed and confirmed through staff interviews and record reviews.

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