Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
Surveyors identified that the facility failed to maintain a comfortable and well-kept environment in three resident rooms (A2, A10, and F5). In room A2, a large hole was observed between the resident's bedside dressers, and in room A10, two large holes and a small hole for a TV cable were found between the bathroom and closet doors. Room F5 had a significant area of peeling paint at the head of a resident's bed. These deficiencies were observed during routine rounds and confirmed by staff interviews. The maintenance supervisor (MS) acknowledged the presence of the holes and peeling paint, noting that the holes could pose a risk if residents, particularly those from the memory care unit, put their fingers in them. The MS also stated that the damage in room F5 had been missed during rounds and was caused by beds scraping the wall during care activities. Staff interviews revealed that the holes in rooms A2 and A10 had been present for at least two weeks, and the CNA did not report them, assuming the MS was aware due to frequent room checks. The DON stated that the facility should be clean, well-maintained, and free of holes or peeling paint, as such conditions could allow pests or present risks to residents. Facility policy requires a safe, clean, comfortable, and homelike environment, but the observed conditions did not meet these standards.