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F0584
D

Failure to Maintain Clean and Sanitary Resident Room and Bathroom

Baltimore, Maryland Survey Completed on 02-24-2026

Penalty

Fine: $55,890
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Facility staff failed to honor a resident’s right to a safe, clean, comfortable, and homelike environment in one resident room (Room 209) during a review for safe/clean/comfortable/homelike environment. During an interview with Resident #2 in that room related to a complaint, the surveyor observed that the room’s curtains had red and brown spots scattered throughout, the floors contained paper trash and food and appeared dirty throughout, and the bedside commode placed over the toilet had brown material in all the crevices and on the seat. The bathroom also had a strong smell of urine and feces. These conditions demonstrated that staff did not ensure a sanitary and safe interior environment for the resident in that room. The deficiency was identified based on surveyor observation and interview with the resident, showing that the facility did not maintain the resident’s room and bathroom in a clean and sanitary condition, including visibly soiled curtains, dirty floors with debris and food, and an unclean bedside commode, along with strong odors of urine and feces in the bathroom.

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