Roof Leaks, Water Intrusion, and Compromised Fire Panel Create Unsafe Environment
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment when active water leaks from the roof penetrated ceiling tiles and electrical fixtures on the second floor. Surveyors observed multiple areas on two second-floor units with towels on the floor that were saturated with brown-colored water, as well as waste and laundry baskets and buckets placed in hallways and outside resident rooms to collect water from active leaks. Water was seen leaking from ceiling tiles and overhead light fixtures, with visible water staining on numerous ceiling tiles and wall surfaces. Floor surfaces were wet and slippery, particularly around the water collection buckets. Many residents, including those with mild to severe cognitive impairments, were observed sitting or ambulating near the active leaks and containers collecting water. During interviews, the Maintenance Assistant acknowledged the roof leak, stated it had started the day prior, and reported he had been instructed to remove snow from the roof to prevent continued leaking but had not yet done so. The Administrator acknowledged that the leaks had become progressively worse throughout the morning and that the facility was in the process of obtaining a quote to repair the roof. The Director of Operations confirmed awareness that the leaking water was coming from the roof and that a contractor had been called to assess and fix the damage, but he could not provide evidence of any immediate interventions implemented to ensure a safe, functional, sanitary, and comfortable environment. Subsequent evaluations by external authorities identified water inside the second-floor fire panel, which appeared to have been tampered with, and led to the establishment of a fire watch and orders to evacuate first the second floor and then the entire facility due to the water damage, active leaks, and compromised conditions.
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