Failure to Maintain Clean, Safe, and Functional Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, functional, and comfortable environment for residents in several rooms, as evidenced by the presence of dead bug carcasses and dead cockroaches in resident bathrooms and vanities. Observations revealed missing baseboards, stained caulk and flooring, cracked and missing tiles, and a bathroom vanity with missing doors. Multiple residents confirmed that while housekeeping staff cleaned their rooms, the bathrooms were not cleaned properly, and dead cockroaches were not removed. Residents also reported that the bathroom tiles had been falling off for some time. Interviews with facility staff, including the Administrator, Maintenance Director, and Housekeeping Supervisor, revealed a lack of awareness regarding the physical plant issues and the presence of pests. The Maintenance Director and Administrator both acknowledged the observed deficiencies during walkthroughs but stated they had not received any maintenance requests for the repairs. The Housekeeping Supervisor admitted that bathrooms and vanities were not cleaned as thoroughly as required and that there was no cleaning checklist or follow-up to ensure proper cleaning. Staff indicated that maintenance requests were supposed to be logged at the nurse station, but no such requests had been made for the observed issues. A review of facility policies indicated that the maintenance department is responsible for keeping the building in good repair and free from hazards, and that staff are expected to provide a clean, sanitary, and homelike environment. Despite these policies, the observed conditions in the resident rooms and bathrooms did not meet these standards, as evidenced by the lack of cleanliness, unrepaired damage, and unaddressed pest issues.