F0584

D

Failure to Maintain Safe and Intact Shower Room Surfaces

Ocala, Florida Survey Completed on 03-06-2026

Penalty

No penalty information released

Summary

The facility failed to maintain a safe, clean, and homelike environment when it did not repair broken and damaged wall tiles in a resident shower room. A resident reported that there was a missing shower tile in the shower room and that she caught her toe on it in January. On observation of the 400's hall shower room, surveyors noted seven broken wall tiles on the wall adjacent to the door, including two tiles that were chipped with sharp edges exposed and an uneven surface with deteriorating grout. During interview, the Maintenance Assistant acknowledged that the tiles were in disrepair and stated that he tours the shower rooms daily but had not yet toured this particular shower room that day. Review of the facility’s Maintenance policy, last approved on 01/15/2026, showed that the Director of Environmental Services is responsible for daily rounds of the building to ensure the physical plant is free of hazards and in proper condition, indicating that the damaged tiles were not identified and corrected as required by the facility’s preventive maintenance procedures.