Failure to Maintain Safe, Sanitary, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, sanitary, and homelike environment in two of three resident halls, as evidenced by multiple observations and resident interviews. Uneven floors were noted in several locations, including soft spots, dips, and raised areas that caused instability and flooring to come up. In one instance, a resident lost balance when a bedside table slid on an uneven floor. The main dining room was affected by cigarette smoke odor due to gaps and lack of weather stripping in the doors leading to a designated smoking area, with residents and staff confirming the persistent smell. Resident rooms and restrooms were observed to be unkept, with spills left uncleaned and specimen collection equipment left uncovered on restroom floors. Multiple residents reported that restrooms were not cleaned well. Additional deficiencies included missing or damaged doorknobs on hall closets, bent or loose door handles, and the use of duct tape to repair coved base and door trim in resident rooms. One resident reported that duct tape was used to seal a hole behind the coved base to prevent mice from entering. Overhead lights in a resident room contained debris and dead insects. The facility administrator indicated there was no policy related to the physical environment. These findings were based on direct observation, resident and staff interviews, and record review.