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F0921
F

Widespread Flooring Damage and Unsanitary Conditions Identified

Mansfield, Ohio Survey Completed on 09-18-2025

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 clean, safe, and sanitary environment, as evidenced by multiple observations of damaged and unsanitary flooring throughout the building. Surveyors observed raised and buckled laminate flooring at the courtyard entrance, as well as widespread discoloration, stains, tears, and fraying of carpeting in several hallways, including Malabar Lane Hall, Oakhill Hall, Oakhill Circle Hall, [NAME] Court Hall, and [NAME] Avenue Hall. In several locations, the carpet was lifted or torn, exposing the subfloor, and large brown stains and fraying were present in front of multiple residents' rooms and common areas. The flooring issues were confirmed by both the Maintenance Director and the Director of Nursing, who stated that the problems persisted despite professional cleaning and that the carpeting throughout the facility needed replacement. Interviews revealed that the facility experienced flooding due to courtyard drains clogging with mulch during heavy rain, causing water to back up into the building. The Maintenance Director described using equipment to clean and dry the affected areas, and noted that the dining room developed a strong musty odor and had to be closed temporarily. Email correspondence from the DON to the Facility Manager documented ongoing concerns about carpet stains, fraying, rippling, and holes in various areas, with no response from management. Facility policies reviewed required the environment to be safe, clean, comfortable, and homelike, but these standards were not met, affecting all 46 residents in the facility.

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