Failure to Maintain Safe and Homelike Resident Environment Due to Unresolved Maintenance Issues
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for three residents, as evidenced by unresolved maintenance issues in their shared room. One resident reported that a ceiling panel by the window had been missing for weeks following a leak, with exposed piping and multiple towels and linens placed on the floor beneath the opening. Both residents occupying the room confirmed that the ceiling panel had not been replaced for an extended period, and that the facility had not addressed the issue. Additionally, a cabinet in the room was missing a side panel and door, which had fallen off days prior and remained unrepaired. One resident stated the cabinet was already broken upon moving into the room. Interviews with housekeeping and maintenance staff revealed that the broken cabinet had been reported previously, but there was no record of a work order for either the ceiling panel or the cabinet in the facility's maintenance system. The Maintenance Director and Assistant were unaware of the missing ceiling panel until informed by the surveyor, despite facility policies requiring daily inspections and prompt attention to repairs. The facility's own policies mandate the provision of a safe, clean, and comfortable environment, as well as daily inspection and immediate response to maintenance issues, which were not followed in these instances.