Failure to Maintain Clean, Homelike Environment and Equipment
Penalty
Summary
Surveyors identified that the facility did not maintain a clean, comfortable, and homelike environment for multiple residents. One resident reported that the blinds in her room were broken and would not go up, which was confirmed by the Maintenance Director, who stated the blinds did not function due to a broken string. The Nursing Home Administrator acknowledged that non-functioning blinds that do not move up and down were not homelike and would need to be replaced. Another resident was observed seated in a Broda chair with significant damage to the vinyl covering on both armrests and a torn seam along the entire length of the headrest. A registered nurse confirmed that this resident used the Broda chair, that it was stored in the shower room when not in use, and that the chair’s condition meant it should have been out of circulation and not used. A third resident was repeatedly observed sitting in a Broda chair with a ripped and torn blue pad exposing the white padding, torn corners and sides, and a large accumulation of a brown sticky dried-on substance, grime on the wheels, and scattered food debris. An LPN confirmed the cushion was ripped with padding sticking out and that the chair was not clean. The Housekeeping Director stated there was a monthly wheelchair cleaning schedule, that wheelchairs should be cleaned once a month, and that this resident’s chair was last cleaned on December 7, 2025, and had not yet been cleaned in January 2026.
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