Failure to Maintain Homelike Room Environment Due to Unrepaired and Unpainted Walls
Penalty
Summary
Surveyors determined that the facility failed to honor residents' rights to a safe, clean, comfortable, and homelike environment when room walls were left unrepaired and with visible patchwork. The facility's Homelike Environment policy, revised 9/17/25, states that the facility supports residents' rights to such an environment to promote dignity, independence, and quality of life. During observations on 3/2/26, Resident #13's room was found to have a jagged vertical damaged line on the wall from floor to ceiling exposing broken drywall, along with other areas of the walls covered with white patches on top of colored paint. Resident #13, who had been re-admitted with schizoaffective disorder, insomnia, anxiety, depression, and dementia, stated that the white patches and damaged wall had been present since she relocated to the room in November 2025. On the same date, Resident #53's room was observed to have various white patches on painted walls, both small and large, throughout the room. Resident #53, who had been admitted with schizophrenia and COPD, stated that the white patches had been on the walls for as long as she could remember. On 3/5/26, the Maintenance Director reported that the walls in both residents' rooms had been patched and primed and were ready to be painted, but they had not yet been painted. He also stated he was unaware that Resident #13's room had any damaged walls that still needed to be fixed. These observations and statements showed that the facility did not ensure timely repair and consistent painting of residents' room walls, resulting in an environment that did not meet the homelike standard described in the facility's policy.
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