Failure to Maintain Clean, Homelike Resident Bathrooms and Shower Rooms
Penalty
Summary
The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment in resident bathrooms and shower rooms, affecting all 139 residents. A resident reported that bathrooms and shower rooms were terrible, did not seem up to code, were not cleaned, sometimes lacked shower curtains, and had peeling drywall. During a tour of the second, third, and fourth floor shower rooms, the surveyor observed black and brown substances on shower walls on all three floors and a hole in a shower room ceiling with drywall and paint peeling from the ceiling and walls. Further observations showed additional environmental deficiencies. In a third-floor unisex restroom, the surveyor observed a hole in the wall behind the restroom door and a roll of paper towels used for hand drying sitting on top of a garbage can instead of in a paper towel holder. In the second-floor shower room, the first toilet stall was missing a toilet seat, although the toilet itself was functional. In the fourth-floor shower room, the surveyor observed a torn white shower curtain with black spots and a ceiling light fixture with a black stringy substance adhering to the fixture and ceiling. Interviews with staff confirmed awareness of these conditions and their inconsistency with a homelike environment. The Maintenance Director stated that the black substance on the shower walls was likely soap, grime, or rust buildup and acknowledged that residents may not feel comfortable showering in rooms with peeling paint and dark spots. A housekeeper stated that housekeeping staff are supposed to scrub showers daily to prevent the black substance and acknowledged that it looks uncomfortable. The Maintenance Technician and Maintenance Director both recognized that the hole in the restroom wall and the paper towel roll on the garbage can did not represent a homelike or sanitary environment. The Maintenance Director also acknowledged the missing toilet seat and stated that they would not want a toilet at home without a seat. Facility policies and job descriptions reviewed by the surveyor documented that maintenance and housekeeping are responsible for maintaining the building in good repair, free from hazards, and providing routine and thorough housekeeping services to promote resident comfort and a homelike environment.
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