Failure to Maintain Safe, Clean, and Homelike Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment on one of three nursing units, contrary to its policy titled "Safe and Homelike Environment" last reviewed January 5, 2026. That policy states that residents have the right to a safe, clean, comfortable, and homelike environment and that the center must provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior. During observations of one resident’s room on two consecutive days, surveyors noted damaged wall areas in a corner, baseboard pulling away from the wall, four ceiling tiles with brown stains, and holes in the wall above the bed, with no change between the first and second day. Additional observations on the same unit showed similar failures to provide adequate housekeeping and maintenance. In another resident’s room, the tray table was dirty with spilled liquid and the floor around the bed was dirty on two consecutive days, with conditions unchanged. A third resident’s bedside table was dirty with several rings from beverage cups and the floor underneath the table was dirty on both days, again without improvement. A fourth resident’s room had a baseboard coming away from the wall and damaged wall surfaces, also observed on two consecutive days with no change. During an interview, the Nursing Home Administrator acknowledged the environmental concerns in these rooms and stated an expectation that the facility provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment.
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