Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Surveyors found that the facility failed to provide a homelike environment for its residents, as evidenced by multiple observations of unclean and damaged equipment and furnishings in resident rooms. Specific findings included tube feeding poles with dried brownish substances, broken window blinds, privacy curtains with brown stains or hanging off tracks, and walls with brown splashes and holes. Housekeeping and maintenance staff confirmed these issues had not been addressed. Additionally, the elevator was observed to be dirty, with stains on the floor, dirt in the corners, dim lighting, and light panels containing bugs and a black substance. The memory care unit (MCU) was also found to have persistent, pungent odors of urine and feces in the hallway and resident rooms, with staff unable to immediately identify or resolve the source of the smell. The facility's own policy requires a clean, comfortable, and homelike environment, but these conditions were not met for several residents and areas, affecting both the safety and comfort of residents, staff, and visitors.