Environmental Hazards and Maintenance Failures in Resident Areas
Penalty
Summary
The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment on two hallways and in certain common and resident-use areas. Surveyors observed that handrails on Hall 1 and Hall 2 had multiple missing end caps, with screws protruding, and some handrails had black tape wrapped around the edges. At the entrance to Hall 1 near the dining room, the flooring by the double doors had six holes remaining from old fire doors that had been replaced, and the baseboard in that same area was unattached to the wall. When the state surveyor requested a policy addressing a safe and clean homelike environment, the facility did not provide one. In a resident room, surveyors observed on multiple occasions that the sink was clogged or partially clogged. On one observation, the sink water was running and draining very slowly while the basin filled quickly. On subsequent observations, the sink remained clogged or partially clogged, with slow drainage persisting over several days. During a concurrent observation and interview, the MDS nurse confirmed that the sink continued to drain slowly and remained partially clogged. In a walking tour, the Maintenance Director confirmed that the handrails on both halls needed cap replacements, that the holes in the floor were from removed fire doors and needed to be filled, that the baseboards needed to be reattached, and that the resident room sink required service due to a clog.
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