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F0921
E

Ceiling Leaks and Disrepair in Resident Hallway and Lobby Entrances

Lufkin, Texas Survey Completed on 10-22-2025

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, functional, sanitary, and comfortable environment for residents, staff, and the public in specific areas, including one resident hallway (900 hall secured unit) and two main entrances (north and south lobby entrances). Observations over several days revealed ongoing water leaks from the ceilings in the 900 hall and the south lobby entrance, with towels and buckets placed underneath to catch the water. The north entrance lobby ceiling was found to have missing sheet rock, exposing the frame and insulation. These issues were consistently present during the survey period. Interviews with staff confirmed that the ceiling leaks occurred whenever it rained, and that the problem had persisted for an extended period. Staff routinely placed towels and buckets to manage the water, and housekeeping staff emptied the buckets and cleaned the affected areas daily. The maintenance supervisor reported repeated attempts to seal the roof, but these efforts did not resolve the leaks. The north entrance area was reported to be dry at the time of the survey, but the ceiling remained unrepaired. The facility's policy requires a safe, clean, and comfortable environment, but the ongoing leaks and ceiling disrepair were not corrected, resulting in an environment that was not in compliance with these standards.

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