Failure to Maintain Clean, Comfortable, and Adequately Heated Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment as evidenced by multiple observations of unclean resident rooms, damaged fixtures, and inadequate temperature control. Surveyors observed dust, food pieces, debris, and dirt on the floor and under a window-side bed in one resident room, and in another room found water discoloration stains and pooling near a bed, food pieces and dirt under the bed, and a toilet with brown stains and discoloration on the seat. A toilet paper dispenser in that room had a 2-inch gap between the metal dispenser and the wall, exposing the inside of the wall, with debris from the wall on the floor beneath it. Another resident room contained a blue fall mat with brown and gray liquid and discoloration stains, and a separate room had a broken toilet paper dispenser and a 3-foot line of chipped paint on the ceiling above the window-side bed. The facility also failed to provide comfortable environmental temperatures, particularly in the main dining room, and did not maintain clean and intact common areas. On two separate days, the first-floor main dining room felt cold, with the thermostat set in the mid-70s Fahrenheit while wall thermometers and measured wall temperatures showed actual temperatures in the low-to-mid 60s Fahrenheit. Residents present in the dining room reported that it was often cold, with one resident wrapped in a blanket stating she needed to return to her room after eating because of the cold, another resident asking for the heat to be turned on, and all residents in a group interview expressing concerns about cold temperatures in the dining room. Additional observations in the third-floor Resident Pantry revealed pink liquid discoloration stains on the counter and cabinets, dirt and debris on the floor, a broken electrical outlet, three ceiling blocks with brown water discolorations, a missing ceiling block, and a heating/cooling unit with dozens of food pieces inside the radiator fins. Outside the third-floor Resident Dining room, white handrails were observed with chipped and peeling paint. These conditions were confirmed with facility leadership during interviews.
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