Failure to Maintain Safe Temperatures, Functioning Utilities, and Sanitary Conditions
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, comfortable, and homelike environment on multiple nursing units, as required by its own policy and regulatory standards. On the first-floor unit, surveyors measured room temperatures as low as 52°F, 57°F, 61°F, 62°F, and 66.5°F in several resident rooms, while residents reported feeling cold. One resident was observed lying in bed wrapped in multiple blankets and stated that it had been cold in the room for the past three months and that they felt cold. Another resident in a different room also reported feeling cold. In addition, all rooms from 111–116 had non-functioning restroom lights, and the sink water in one room had been turned off at the valve until the Maintenance Director reopened it during the survey. The survey also identified environmental and sanitation issues on the same unit. In one resident room, the restroom had rusted metal edges on the wall with rust flaking off, rust discoloration around the toilet and toilet valves, and brown rust discoloration on the floor tile behind the toilet. The hallway on the unit had two hand sanitizer dispensers, both of which were empty. In another room, there was a strong smell of cigarette smoke near one bed; the resident occupying that bed denied smoking, but the Unit Manager confirmed a strong smoking odor and reported that the resident was a smoker with a contract not to smoke and was noncompliant. A lighter was found during a search of the room. On a separate date, during a tour of the fourth-floor nursing unit, surveyors found that one resident room had no working cold water when the bathroom faucet was turned on. Another room on the same unit also had no working cold water when the bathroom faucet was tested. A resident reported that she had told staff about the issue but could not recall to whom she had reported it. The Director of Maintenance stated he had been aware since December 10, 2025, that one of these rooms did not have working cold water after he went to fix the toilet there and acknowledged that he had known about the problem and had not had time to fix it. He also reported that he was notified of the lack of cold water in the other room only after the surveyor’s observation.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.