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F0921
E

Failure to Maintain Clean and Sanitary Resident Rooms

Richmond, Virginia Survey Completed on 12-17-2025

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

Facility staff failed to maintain a clean environment in four of 88 resident rooms, as evidenced by direct observations and resident and staff interviews. One resident reported requesting housekeeping services multiple times in a single day without response, and surveyors observed trash and unclean floors in the resident's room on consecutive days. Additional observations in several rooms revealed dark stains along the walls and floors, strong urine odors in bathrooms, and significant discoloration of bathroom tiles. The environmental services manager confirmed that daily cleaning was supposed to occur, including mopping floors and cleaning all horizontal surfaces, but acknowledged that the current cleaning methods were insufficient to address the level of staining and odor present in the rooms. The environmental services manager further explained that some rooms required more intensive cleaning, such as stripping and waxing of floors, or even tile replacement, to achieve an acceptable level of cleanliness. However, the rooms identified as deficient had not been included in the recent schedule for stripping and waxing, and some tiles were described as beyond repair. Facility records confirmed that the affected rooms had not received the necessary deep cleaning. The director of nursing and regional director of clinical services were informed of these findings, but no additional information was provided prior to the survey exit.

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