F0584

E

Failure to Maintain Clean, Accessible Shower Rooms and Resident Care Equipment

Wilmington, Delaware Survey Completed on 01-30-2026

Penalty

No penalty information released

Summary

Surveyors identified that the facility failed to maintain clean, sanitary, and home-like shower rooms and resident areas on the second, third, and fourth floors. During multiple tours, the second-floor shower room was observed with cracked tiles, standing water on the floor, discolored walls, and water dripping from the shower head. The handwashing sink in this room was inaccessible due to multiple pieces of equipment, including wheelchairs and mechanical lifts, and a large amount of black debris was seen in an area between the wall and window where a heater had previously been located. CNAs reported that they were not able to access the handwashing sinks in the shower rooms because of the amount of equipment stored there. Similar conditions were observed in the third- and fourth-floor shower rooms, including broken tiles, dripping shower heads, discolored walls, and inaccessible handwashing sinks due to wheelchairs and other equipment.

Across all three units, hallway carpets and multiple residents’ room floors were repeatedly observed to be visibly soiled over several days, and the environmental services director stated there was no schedule for carpet cleaning. The shower rooms on all three units continued to be cluttered on repeated observations. In addition, a plastic cushion on a shower bed in the fourth-floor shower room was found with five to six surface openings exposing the underlying permeable foam. Staff interviews confirmed that the cushion had been in that condition for some time and that the openings were present, raising questions about how it could be disinfected. These findings regarding environmental cleanliness, clutter, and damaged resident care equipment were confirmed with facility leadership during the survey.