Failure to Maintain Safe, Clean, and Well-Maintained Physical Environment
Penalty
Summary
The facility failed to maintain a safe, functional, clean, and comfortable environment for all 213 residents, staff, and the public, as evidenced by multiple unrepaired structural issues and unclean areas throughout the building. On the first floor, surveyors observed missing baseboards by a resident room and along the hallway between two rooms, as well as missing floor panels in the center of the hallway. Additional observations included a missing baseboard and a hole in the wall by the medical equipment room, stained and unsecured ceiling panels in the first-floor dining room due to warped holding rails, and missing parts of floor squares in an elevator. On the third floor, tile was observed to be broken in front of an elevator. These issues were not documented in the facility’s work order binder when reviewed by the surveyor. On the second floor, surveyors observed environmental cleanliness and maintenance problems in the shower rooms, including a wall behind a toilet with brown substance splattered on it, a toilet and floor with grayish-black debris, a tub filled with water and debris, and missing drywall along the base of the floor behind the toilet. A CNA verified these observations and stated that maintenance is responsible for repairs, while a housekeeper stated that floor techs are responsible for cleaning shower rooms, bathrooms, hallways, dining rooms, elevators, and for taking out garbage, and that cleaning and sanitizing are for the health of residents. The Maintenance Director and Administrator both acknowledged via email that baseboards should not be peeling or pulled from walls, walls should not have holes, and residents should not have stained ceiling tiles, noting that such conditions do not provide a homelike environment. Facility policies and job descriptions in effect at the time required that all facility areas be kept clean and in safe condition, ceiling tiles be free from watermarks or spots, wall coverings be intact and free of tears or loose seams, and that maintenance ensure proper functioning and repairs in resident rooms and other areas not under housekeeping’s purview.
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