Failure to Maintain Safe and Homelike Environment Due to Roof Leaks and Lack of Running Water
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for residents, specifically on the third floor, by not addressing ongoing issues with leaking roofs and lack of running water in resident rooms and bathrooms. Maintenance logs and staff interviews confirmed repeated incidents of water leaks from the ceiling, stained and falling ceiling tiles, and flooding in resident rooms and common areas. One resident, who was cognitively intact and had multiple medical diagnoses including polyarthritis, diabetes, and dementia, experienced a leaking roof in their room, water in the light fixture, and a non-functioning bathroom sink. The resident reported these issues to nursing staff, and nurse aides had to leave the room to obtain water for personal care due to the lack of running water. Observations during a facility tour revealed brownish stains on ceiling tiles throughout the building, with the Maintenance Director confirming that leaks occurred during heavy rain and that water traveled through the metal roof to various areas. Staff interviews corroborated that roof leaks were a recurring problem, especially during storms, and that repairs were only made after significant delays. The facility's policy and job description for the building manager require prompt maintenance and high safety standards, but these were not met, resulting in an environment that was neither safe nor comfortable for residents.