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F0921
E

Failure to Maintain Safe and Sanitary Resident Rooms and Bathrooms

Cleveland, Ohio Survey Completed on 01-15-2026

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 deficiency involves the facility’s failure to maintain resident rooms and shared bathrooms in a safe and sanitary condition for multiple residents. One shared bathroom serving two rooms had a toilet that had been plugged and unusable for two days, with old urine and feces visible in the bowl. Residents using that bathroom reported being given urinals but having no place to empty them due to the broken toilet, and one resident reported that the communal bathroom they were told to use lacked toilet paper. The DON stated she was unaware of the problem and confirmed that no work order had been placed as previously reported to the resident. Additional observations showed multiple resident rooms with unclean and cluttered conditions. Several rooms had sticky floors, visible dust build-up on vents, fans, and mini refrigerators, and stained privacy curtains and fall mats. In some rooms, there were food crumbs, candy, banana pieces, foam cups, plastic food containers, dirty urinals, gloves, incontinence briefs, and other trash scattered on or under beds and on the floor. Walls near sinks, bathrooms, and beds had numerous stains and splatters that appeared to be blood or feces. Some residents reported having asked staff multiple times to clean their rooms and help arrange items so they could reach them. Common shower rooms and bathrooms on both floors were also found in unsanitary condition. Surveyors observed dirty floors with tissue paper, footprints, toilet paper rolls on the floor, dried urine splatter on toilet seats, stains that appeared to be feces on toilets, brown debris and stains around toilets, used disposable razors and hair clippings left in sinks, dirty faucet seals, and visible dust on floor and ceiling vents. One shower area had what appeared to be mold in the corner, orange build-up along tile grout, and soap build-up on the dispenser. In addition, damaged flooring was observed at the entryway of one room, where cracked and raised vinyl with a hole was present. These findings were confirmed at the time of observation by the DON, Administrator, Housekeeping Director, housekeepers, CNA, and LPN. The facility’s own policy required a safe, clean, comfortable, and orderly environment.

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