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F0921
F

Failure to Maintain Safe and Clean Environment Due to Water Damage and Unclean Air Vents

Jamestown, Ohio Survey Completed on 11-03-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe and clean environment, as evidenced by multiple observations of water damage, staining, and debris throughout various areas. Surveyors observed stained and bulging ceiling tiles, active leaks, and water dripping in the dining room, kitchen, and hallways. Air vents in several hallways were found to be dirty, with dust and debris present, and some ceiling tiles were bulging or had visible water damage. Staff interviews confirmed the presence of these issues, including active leaks in the kitchen and dining room, as well as ongoing water damage in the administrator's office. The wallboard under the kitchen sink was also damaged with open areas around the sink pipe. Review of facility policies indicated that residents are to be provided with a safe, clean, and comfortable environment, and have the right to a dignified existence. However, the observed conditions did not meet these standards, potentially affecting all 30 residents in the facility. The findings were corroborated by staff members, including CNAs, a physical therapy assistant, a dietary aide, an LPN, and the administrator, who all verified the ongoing issues with leaks, water damage, and unclean air vents.

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