Failure to Maintain Clean and Safe Resident Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for residents by not ensuring that a shower room was free of mold and that a resident's toilet was in good repair. One resident reported that the exhaust fan in the shower room was not functioning and had emitted sparks for several months, and also noted the presence of mold along the edges of the shower. The resident stated that she had informed a CNA about the mold, but no work order had been submitted. Upon inspection, surveyors observed a strong musty odor and visible black substance identified as mold by the Director of Maintenance, who confirmed he had not received any work order for the issue. The fan was found to be broken and very loud, and the maintenance director acknowledged responsibility for mold removal, while daily cleaning was assigned to housekeeping. Additionally, another resident reported that his toilet had been leaking urine and water since it was replaced six months prior. Surveyors observed a wet floor with brown fluid around the toilet on multiple occasions. The maintenance director and his assistant confirmed they had not received any work orders regarding the leaking toilet. The Director of Nursing stated that staff are expected to submit maintenance tickets and notify management if there are issues such as mold or leaking toilets, but this protocol was not followed in these instances.