Failure to Maintain Safe and Functional Resident Room Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, functional, sanitary, and comfortable environment in one of four resident rooms reviewed for environmental concerns. Specifically, in the identified room, there was a hole measuring approximately 3 inches by 2 inches in the bathroom door, a toilet that continuously ran water and would not flush, and an unsecured sprinkler system access panel on the bathroom wall measuring about 1.5 feet by 1.5 feet. These issues were directly observed during a walkthrough with the Administrator and Maintenance Director. Interviews revealed that the room was occupied by a single resident who was unable to be interviewed. The Maintenance Director stated that repairs are typically reported through the TELS work order system, but no work order had been received for this room. He also mentioned that resident rooms are checked weekly as needed for repairs. The facility's policy on physical environment, dated 01/2023, indicates a preventative maintenance program is in place to ensure all essential equipment is in safe operating condition.