F0584

F

Failure to Maintain Clean, Safe, and Homelike Environment Throughout Facility

Chicago, Illinois Survey Completed on 03-20-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment in accordance with its housekeeping policy, affecting all 244 residents. Multiple residents with varying cognitive and physical conditions reported and were observed living in unclean conditions. One resident with intact cognition and a history of diabetes, frostbite, gangrene, and partial toe amputation refused to sit on dining room chairs, describing them as “nasty and filthy” and stating he had never seen them cleaned. Another resident reported that floors were usually swept but not mopped, garbage was not taken out daily, and that overflowing trash in the room made him feel bad; his bathroom and toilet floors were observed to be dirty with brownish material on the toilet bowl and floor, and his garbage can was overflowing.

Surveyors observed widespread environmental uncleanliness and disrepair throughout the facility’s common areas and resident rooms. On multiple floors, dining rooms and day rooms had dried food particles on floors and tables, chairs with brownish stains and caked-on food in crevices, spills on floors, dust and old food particles on heating units, and black or brown dust on ceilings and vents. Broken tables and seats were present in resident-accessible dining areas, including two broken tables on one floor and broken seats in another dining room. On one unit, there were no shower curtains on the large end of the shower room separating two showers, and in one resident’s room, large brownish stains were observed on the walls and floors, with food particles around the baseboards and no privacy curtains present.

Facility staff interviews corroborated the observations of inadequate cleaning and environmental maintenance. A housekeeper stated that floors on one floor were not clean, with used paper towels, food particles, and cups on the floor, and that dining room seats were very dirty with brownish stains and caked-on food and dirt; she reported she had not cleaned chairs since starting work and had not seen anyone else clean them, and that floors that were supposed to be mopped daily had not been mopped. The housekeeping supervisor reported having ten full-time housekeepers and two floor technicians and stated that day rooms and parlors were supposed to be cleaned after every meal, that seats with urine and food grease stains should be cleaned daily, that garbage cans were supposed to be emptied every day, that shower curtains should always be present for privacy, and that broken furniture should not be left in resident areas. Another housekeeping staff member stated she was assigned 30 rooms per day and sometimes could not clean all of them, even though rooms were supposed to be cleaned daily. The facility’s housekeeping policy required daily trash removal, cleaning of surfaces when dust or soiling was visible, and adherence to daily cleaning assignments to maintain a clean and orderly environment, which was not followed as evidenced by the observed conditions.