Environmental Deficiency in Resident Closet Cleanliness and Maintenance
Penalty
Summary
The facility failed to maintain a safe, clean, and intact environment in a resident’s room closet, specifically for Resident B. Resident B’s clinical record showed diagnoses including chronic obstructive pulmonary disease. During observation of the resident’s room, the sliding closet door was found off its track and leaning against the right side of the closet rather than being properly installed. Inside the closet, the right upper wall contained multiple gray/black spotted areas extending across the width of the wall and approximately 10 inches downward, and the interior wall above the closet entrance had a large vertical area of gray/black spotting with two streaked areas and a larger dark gray/black area measuring about 3 inches by 1.5 inches. A staff member identified these gray/black spotted areas as mold. Review of the deep cleaning schedule showed the room was documented as deep cleaned on 2/25/26, and the housekeeping supervisor later indicated that housekeeping was responsible for ensuring closets were mopped, cleaned, and free of debris and that this closet had likely been missed during deep cleaning. This deficiency was cited under 410 IAC 16.2-3.1-19(f) and relates to Intake 2730662.
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