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F0584
E

Failure to Maintain Clean and Homelike Environment

Monroeville, Pennsylvania Survey Completed on 12-29-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a clean and homelike environment for its residents, as evidenced by multiple observations and staff interviews. Specific incidents included dried vomit remaining under a resident's bed for four days, food and a urine odor present on another resident's floor, and a room with blood on the restroom light switch, feces and blood on the bathroom floor, and a dirty commode and sink. Additional findings included dirty overbed tables, refuse on the floor, unclean walls, a wall outlet with a loose faceplate and a gouge, and a handwritten sign warning not to use the outlet. The Environmental Services Supervisor confirmed that only three housekeepers were currently employed, which may have contributed to the lack of cleanliness. Further observations revealed a soiled brief on a restroom floor, feces on bed linens, and rooms with overwhelming urine odors, with one staff member stating that the urine was embedded in the mattresses. Other rooms were found to be unclean, with soiled gloves on overbed tables and bags of soiled linen left on the floor. These deficiencies were confirmed by the Nursing Home Administrator, who acknowledged the facility's failure to provide a clean and homelike environment on both nursing units and for seven of twelve residents reviewed.

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