Failure to Maintain Clean and Homelike Environment on 200 Hall
Penalty
Summary
Surveyors identified a failure by the facility to maintain a clean and homelike environment on the 200 hall, affecting two residents who were both cognitively intact and did not exhibit behavioral issues at the time of assessment. Observations revealed a metal ceiling tile support track hanging down approximately three inches, multiple ceiling tiles with round orange-brown stains ranging from three to six inches in diameter, and an excessive buildup of dust on vents and surrounding ceiling tiles. These conditions were confirmed by an LPN during an interview. Both affected residents reported being aware of the ceiling conditions and expressed that they found them bothersome and not homelike. Review of the facility's policy on providing a safe, clean, and homelike environment indicated that the observed conditions were not in compliance with established standards. The deficiency was documented under a specific complaint number and was based on direct observation, interviews, and policy review.