F0584

D

Failure to Maintain Resident’s Primary Entertainment Device in Safe, Operable Condition

Glendora, California Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

The facility failed to ensure a safe, comfortable, and homelike environment for one resident when it did not address a malfunctioning television over an extended period. The resident, who had diagnoses including acute and chronic respiratory failure, COPD, and Type 2 diabetes mellitus, was cognitively intact and required substantial to maximal assistance with activities of daily living such as bathing, dressing, toileting hygiene, personal hygiene, and oral hygiene. The resident reported that the television, which was the main source of entertainment, would shut off approximately every 20 minutes, requiring the resident to repeatedly turn it back on with the remote. The resident stated having previously informed both the Maintenance Supervisor and the Social Service Director about the problem and reported feeling frustrated by the ongoing issue.

Surveyors directly observed the television malfunction when the screen went black while the audio continued, necessitating the resident to use the remote to restore the picture. During interviews, the Maintenance Supervisor acknowledged that the television screen had been turning off for the past six months and attributed the issue to a weak TV signal. The Social Service Director reported being informed by the resident about the faulty television about one month prior and stated that this concern had been relayed to the Maintenance Supervisor. Despite facility policies stating that the Maintenance Department is responsible for maintaining equipment in a safe and operable manner at all times and that residents are to be provided with a safe, clean, comfortable, and homelike environment, the television remained unrepaired, resulting in the identified deficiency.