Failure to Maintain Clean and Homelike Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, comfortable, and homelike environment across all five resident units. Multiple resident rooms and common areas were found with strong urine odors, soiled toilets with black or brown stains, broken or empty soap and paper towel dispensers, stained bedding, and dirty bedside tables. Shower rooms contained toilet paper stuck to the floor, used personal items left behind, and empty dispensers. Soiled linens were found on the floors of several rooms and the shower area. Trash, dirt, sticky substances, used surgical gloves, and food debris were present on the floors of numerous rooms. Additional maintenance issues included broken floor tiles, missing ceiling tiles, malfunctioning thermostats, soiled windows, old tape on walls, chipped or cracked nurse station enclosures, scrape marks on walls, curtains off hooks, and doors with various marks and stains. Handrails and brass door guards were also found to be soiled, and floors in corridors and rooms were dirty, with scuff marks and unswept areas. During interviews, a resident reported that bathrooms were not cleaned and that shower rooms often had feces present. Facility staff acknowledged the cleanliness and maintenance issues, noting that cleaning, repairs, and restocking of supplies would be addressed. The observations and interviews confirm that the facility did not provide effective housekeeping and maintenance services, resulting in an environment that did not meet regulatory standards for cleanliness and repair.