Failure to Maintain Safe Flooring and Intact Ceilings After Water Damage
Penalty
Summary
Surveyors identified that the facility failed to maintain a safe, functional, and sanitary environment in Hallway 100 and in a resident room. During an unannounced complaint investigation, staff interviews and observations revealed that the flooring in Hallway 100 was deformed with multiple raised areas or “bumps.” A CNA stated the floor was not safe for residents or staff because someone could trip and fall. The DON also observed the hallway flooring and acknowledged that it should not have bumps and that this condition was a safety hazard. The Maintenance Assistant explained that the laminate flooring could develop bubbles if insufficient glue was used during installation and agreed that this condition posed a tripping hazard, indicating that the affected tiles would need to be removed and replaced. Surveyors also observed a ceiling defect in a resident room that had previously experienced water damage from roof leaks. The DON and Director of Maintenance reported that there had been multiple roof leaks in the facility in November and December, with one leak affecting a resident room where drywall had been cut and repaired. During observation with the Maintenance Assistant, the ceiling in the identified room was noted to have a crack from prior water damage and was described as needing to be repatched, while a resident lay in bed beneath the cracked area. In a later observation with the resident, the ceiling was described as lumpy with possible water damage, and the paint was cracked and chipped. The facility’s maintenance policy required maintaining a clean and safe facility, including floor, wall, and ceiling surfaces that are smooth, dry, and cleanable, and stated that any cracks may harbor bacteria, which was not met in these observed conditions.
