Failure to Maintain Clean and Safe Environment Due to Dust Accumulation and Damaged Ceiling Tiles
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, functional, sanitary, and comfortable environment in multiple areas, including the 100, 200, and 300 Halls, the common area near the nurse station, and the lobby. Specifically, there was a delay in repairing damaged ceiling tiles and a noticeable accumulation of dust-like material on ceiling vents. The facility's policy on cleaning and disinfection required regular cleaning of environmental surfaces and wet dusting of horizontal surfaces with EPA-registered disinfectant, but these standards were not met as evidenced by the visible dust and unrepaired ceiling damage. During interviews and observations with the Administrator, ADON, and DON, all confirmed the presence of dust accumulation on vents throughout the facility, acknowledging that such buildup could provoke allergic reactions and respiratory distress in residents with pre-existing respiratory conditions. The Maintenance Director reported that vent cleaning was scheduled every three months and monitored through the TELS system, but admitted he had not noticed the dust accumulation during his daily rounds. No specific residents were identified as being directly affected at the time of the deficiency.