Failure to Maintain Resident Rooms Free of Ongoing Water Leaks
Penalty
Summary
The facility failed to maintain a safe, functional, and comfortable environment by not ensuring that multiple resident rooms were free of water leaks, contrary to its Physical Environment and General Maintenance policies. In one room, a resident with spinal stenosis, polyneuropathy, and type II DM, who had mildly impaired cognition and required moderate to maximal assistance with ADLs, reported feeling water dripping from the ceiling beginning the previous day. Surveyors observed a concentric ring and water bubble on the ceiling, with the resident’s bed moved to the middle of the room to avoid getting wet, and towels, blankets, and a basin placed on the floor to collect water from the ceiling. In another room, a resident with hemiplegia and hemiparesis affecting the right dominant side, epilepsy, and muscle weakness, who required moderate to clean-up assistance with ADLs, was observed with water actively dripping from the ceiling. The ceiling showed rusty brown discoloration, and a basin, blankets, and towels were on the floor to catch the water. The Maintenance Director acknowledged that the roof had been repaired previously but that water leaks persisted, especially after rain, and described a bubble dent and water stains on one room’s ceiling and water intrusion through a window that required towels and blankets to block incoming water. The DON stated that water leaks and water on the floor put residents at risk of injury and acknowledged that residents should have been moved to provide a safe environment.
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.