Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
Surveyors identified multiple environmental deficiencies in fourteen resident rooms during a facility tour, including missing paint on walls, oxidized and stained bed frames, broken side rails, detached edging on bedside tables, holes in walls, missing or detached baseboards, unfinished work under sinks, toilets lacking sealant, and inappropriate storage of toilet paper. Additional concerns included air mattress cords improperly placed and plugged into televisions, and black marks or missing boards from walls. These issues were directly observed and documented by surveyors during their inspection. Interviews with the Director of Maintenance (DOM) and the Nursing Home Administrator (NHA) revealed that these environmental concerns had not been reported through the facility's work order system, and the DOM was unaware of the issues prior to the survey. The NHA stated that department heads are expected to identify and report such concerns during daily rounds, and that staff are trained to report environmental issues. However, the specific deficiencies observed by surveyors had not been communicated or addressed through the established reporting and maintenance processes, resulting in the failure to maintain a safe, clean, and homelike environment as outlined in the facility's policy.