Inadequate Hot Water Supply Disrupting Resident Bathing and Laundry
Penalty
Summary
The facility failed to maintain a homelike environment by not providing consistently adequate hot water for resident bathing and laundry needs, affecting a census of 81 residents. During observation in one resident’s bathroom, surveyors found the faucet water to be only tepid, and the resident confirmed that the water was sometimes too cold. A CNA reported that the facility had experienced boiler issues at least once weekly since at least March 2025 and that nursing management instructed staff to reschedule resident baths and showers when hot water was not working, leading to resident complaints about postponed bathing. A walking tour with maintenance staff revealed that water temperatures in first-floor resident rooms were 95.4°F, which the maintenance staff acknowledged was below acceptable hot water temperatures. The housekeeping director also confirmed intermittent problems with hot water, stating that laundry was sometimes delayed because she had to wait for the water issue to be resolved. Resident interviews and record review further demonstrated the impact of the inadequate hot water. One cognitively impaired resident’s medical record showed that the resident declined a scheduled shower because the water was too cold. Additional residents reported that the hot water did not always get hot enough and that this affected their bathing schedules. Despite these ongoing issues and resident complaints, the administrator and regional director of operations stated they were not aware of the water temperature concerns reported by residents and direct care staff. This pattern of intermittent inadequate hot water for basic care needs and lack of awareness by facility leadership led to the cited deficiency under the residents’ right to a safe, clean, comfortable, and homelike environment.
