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F0584
E

Failure to Maintain Clean and Safe Pantry and Shower Environments

West Bloomfield, Michigan Survey Completed on 02-25-2026

Penalty

No penalty information released
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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

The facility failed to maintain a clean, safe, comfortable, and homelike environment in multiple common-use areas, including the upper-level pantry and shower rooms. Surveyors observed an ice machine in the upper-level pantry leaking water onto the floor, with a black, mold-like substance present on the floor tiles. The cupboard under the pantry sink showed visible water damage and a black, mold-like substance on the bottom shelf. The Maintenance Supervisor stated they planned to get a new ice machine but did not explain why the mold-like substance on the floor had not been cleaned, and further reported he had repaired a leak under the sink about a year earlier but was not aware of any new leak or current water damage. In the upper-level shower room near the nurse's station, a bariatric shower chair was observed with torn vinyl on the seat, exposing foam and creating a surface that was no longer smooth and easily cleanable. In the C/D unit shower room, surveyors and the DON observed two shower stalls with significantly pitched tiled flooring, a torn and heavily stained white vinyl shower curtain, and a heavy buildup of dark, blackish debris along the wall and floor tiles inside the shower area. The tiled shower room walls had several chipped tiles, and plastic corner coverings were missing caps at the top, exposing sharp metal and plastic edges. The DON reported being unaware of these conditions prior to the observation. These conditions occurred despite a facility policy stating that housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly, and comfortable environment and that unresolved environmental concerns should be reported to the Administrator.

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