Environmental Cleanliness and Maintenance Deficiencies in Shower Room, Hallway, and Resident Room
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for a census of 99 residents, as evidenced by multiple areas of uncleanliness and disrepair. In shower room [ROOM NUMBER], surveyors observed black discoloration on the floor tiles, grout, and in the cracks where the floor met the wall, as well as white discoloration on the shower head and handle, brown and pink discoloration on the emergency call light string that was stuck to the wall, and rust on the metal soap container. A CNA confirmed the shower room was used to bathe residents and agreed the room was dirty. The Director of Maintenance (DOM) scraped the black substance and stated it appeared to be mildew, identified the white stains as likely hard water deposits, confirmed the rust on the soap holder, and stated the call light string appeared mildewed and should be replaced. The Infection Preventionist (IP) stated the mildew in the shower room could get residents sick. In the hallway shared by station 1, station 2, and the kitchen, the baseboard was pulling away from the wall, appeared water damaged, and was compacted with dust, debris, and cobwebs. The Maintenance Assistant attributed the condition to a prior leak from the kitchen garbage disposal and stated the area was difficult to clean, while the DOM reported the wall and baseboard had been in that condition for approximately six months and acknowledged that breathing dust and debris was not good for residents. In room [ROOM NUMBER], behind bed B, the plastic protective wall covering and vinyl baseboard were peeling and pulling away from the wall, with gaps containing dust and debris; the DOM confirmed this accumulation and stated it was not good for the resident. The DOM reported that maintenance relied on repair books at each station, checked three times daily, and weekly room rounds to identify needed repairs, but suggested the area behind bed B may have been missed because the resident was in bed at the time. Facility policies on a homelike environment and maintenance services required a clean, sanitary, orderly environment and building maintenance in good repair and free from hazards.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.