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F0584
E

Failure to Maintain Homelike Environment Due to Room Disrepair and Excessive Noise

Bremerton, Washington Survey Completed on 11-18-2025

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 homelike environment for its residents, as evidenced by observations and interviews regarding both the physical condition of a resident's room and the noise levels in a hallway. One cognitively intact resident pointed out multiple areas on their ceiling where paint was missing and plaster was protruding, which was confirmed by a charge nurse who noted the deficiencies did not meet expectations for a homelike setting. The resident expressed dissatisfaction with the room's appearance, indicating it affected their experience. Additionally, residents and staff reported ongoing issues with a hallway exit door that frequently slammed and triggered a loud alarm, disturbing residents in nearby rooms. Multiple residents complained about the noise, both during resident council meetings and in interviews, stating that the door slammed throughout the night and the alarm was disruptive. Observations confirmed repeated slamming and alarm sounds, with residents audibly expressing frustration. Maintenance staff acknowledged attempts to address the noise, such as installing weather stripping, but these measures were ineffective or temporary.

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