Room Door Not Properly Functioning, Limiting Safe Entrance and Exit
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment by not maintaining a resident room door in proper working condition, resulting in a door that did not open correctly or fully to allow entrance or exit. Resident #23, who had been admitted with multiple diagnoses including paranoid schizophrenia and chronic kidney disease, reported that the door to his assigned room had been jammed since he was placed in that room. On 2/17/26 at 10:45 AM, a surveyor observed that the door to room [ROOM NUMBER] became jammed when opened only about halfway. On 2/18/26 at 1:15 PM, the Administrator stated he was unaware that the door to room [ROOM NUMBER] remained stuck, explaining that maintenance had previously attempted to repair the door and that the same issue must have recurred. This deficient practice was identified for 1 of 6 resident room doors observed and created the potential for diminished quality of life and psychosocial distress for residents when their room doors do not open correctly or fully to allow entrance or exit of the room.
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.