Failure to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple environmental deficiencies observed during a survey. In the family room used by residents, a broken window blind was noted, and the Licensed Nursing Home Administrator (LNHA) was unaware of how long it had been in that condition. In the main resident dining room, the door frame had broken wood on both sides, and in a resident room, the carpet was torn and frayed with a sharp plastic piece broken off the bathroom entrance frame. The Assistant Director of Nursing (ADON) stated she had not noticed these issues, and the LNHA indicated that the facility was transitioning to a new work order system but could not provide documentation of any work orders for the observed problems. The facility also did not have a policy for maintaining a homelike environment. Additionally, in another resident room, two ceiling tiles near the window were loose and out of alignment. The resident occupying the room, who was cognitively intact and had diagnoses including bilateral osteoarthritis of the knee, morbid obesity, anxiety, and depression, reported that the tiles had been loose since February and expressed fear that they might fall. The LPN assigned to the resident confirmed the observation but stated they had not previously noticed the issue. No additional information or documentation regarding maintenance or work orders for these deficiencies was provided to the surveyor.