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F0921
D

Failure to Maintain Safe and Functional Resident Environment

Jacksonville, Florida Survey Completed on 09-02-2025

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 a safe, functional, sanitary, and comfortable environment for residents, as evidenced by two specific deficiencies observed during a survey. In one instance, a call light in a resident's room was not functioning properly, with a flashing red light and audible sound persisting for at least two days. Staff members, including a housekeeper and a CNA, were aware of the malfunction but did not ensure it was reported or repaired in a timely manner. The LPN Unit Manager confirmed that the call light in the resident's restroom was broken, and that if an aide required assistance while helping the resident with toileting, they would have to verbally call for help. The Maintenance Director was only made aware of the issue the day before the interview and confirmed that no work order had been submitted for the repair until then. In a separate incident, water was observed dripping from a ceiling vent into a trash bin in another resident's room. The resident, who was identified as a fall risk and required assistance with toileting, was present in the room but was unsure how long the issue had persisted. The Maintenance Director confirmed that there were no active or completed work orders for this room and stated he was not previously aware of the water leak. These deficiencies were identified through direct observation, staff and resident interviews, and review of the facility's maintenance reporting system.

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