Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
Surveyors identified that the facility failed to provide a safe, clean, comfortable, and homelike environment for residents, as required by regulation. Observations revealed that multiple resident rooms on the Roosevelt unit had significant environmental deficiencies, including windows covered with duct tape or plastic, window screens with holes, broken furniture, and numerous unpainted spackled patches on the walls. In several cases, residents were newly admitted and found their rooms in these conditions upon arrival, with some expressing dissatisfaction and concern about the state of their living environment. Residents reported ongoing issues such as drafts and water leaks from windows, with temporary fixes like duct tape and plastic coverings being used instead of permanent repairs. One resident noted that the plastic covering on their window had been in place for over a month, and water would accumulate and leak during rain. Another resident expressed concern about spackle dust from unpainted wall patches, which had been left after the removal of equipment from the walls. Residents also reported broken dressers that prevented them from storing their clothing properly. Interviews with facility staff, including the Maintenance Director and Administrator, confirmed that there was no formal work order system in place, and that maintenance rounds sometimes missed needed repairs. The Maintenance Director acknowledged that the Roosevelt unit had not been painted in several years, and that sanding and painting of spackled areas had been delayed due to workload. Staff also confirmed that temporary measures, such as plastic window coverings, were not appropriate for extended use, and that some windows and furniture were overdue for repair or replacement.