F0584

B

Failure to Maintain Cleanliness and Environmental Repairs in Resident Rooms

Charlotte, North Carolina Survey Completed on 01-28-2026

Penalty

Fine: $26,685

Summary

The deficiency involves the facility’s failure to maintain a clean, safe, and well‑repaired environment in a resident room and bathroom, and to maintain an intact window screen in another resident room. One resident reported that her room and bathroom had not been swept or mopped for some time and could not recall when they were last thoroughly cleaned. She pointed out debris on the floor at the head of her bed, which she stated resulted from the bed hitting the wall when the head of the bed was adjusted, and reported that she had told housekeeping about the issue, though she could not recall when or to whom.

Surveyor observations of this resident’s room and bathroom showed approximately a half cup of white plaster‑like debris, ranging from dime‑sized pieces to powder, on the floor at the head of the bed, with two visible plaster patches on the wall where repairs had been made. In the resident’s bathroom, sections of baseboard along the left wall, under the sink, and under the PTAC unit had pulled away from the wall by about one inch. These conditions were repeatedly observed on multiple subsequent dates, with the debris remaining untouched and the baseboards still in disrepair. The assigned housekeeper stated she swept and mopped resident rooms and bathrooms twice daily and rechecked rooms before the end of her shift, reported that the bed was too heavy to move alone, and indicated she had not noticed the debris and had not been informed of it by the resident. The work order log contained no entries about the bed striking the wall or baseboards pulling away.

A separate deficiency was identified in another resident’s room, where a window screen had a large vertical tear approximately 12 inches long on one window panel. On initial observation, the window was not latched; on later observations, the window was closed and latched, but the torn screen remained unchanged. The Maintenance Director stated he conducted weekly random room checks and expected staff to submit maintenance requests for needed repairs but had not checked this room, was unaware of the torn screen, and did not recall any work orders for it. Review of the maintenance work order log showed no concerns documented regarding this window screen. The DON and Administrator both stated they expected staff to report and request repairs for environmental issues in resident spaces, including damaged screens and general maintenance concerns.