F0584

E

Widespread Environmental and Linen Failures Leading to Unsanitary Resident Conditions

Easton, Maryland Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

Facility staff failed to maintain a safe, clean, sanitary, and comfortable environment in common areas and on one nursing unit, as evidenced by multiple observations during a complaint survey. A complaint alleged that a resident room on the Homestead unit was in deplorable condition, with feces on walls and floors and cold air entering through an air conditioning unit, creating unsanitary conditions. During the tour, surveyors observed multiple stained and cracked ceiling tiles in the conference room, entrance hallway, and Homestead unit hallway, as well as dirty, sticky, and discolored hallway flooring. In the Homestead dining room, drywall was peeling, a section of wall was caved in, several ceiling exhaust fans were rusted, and a piece of ceiling molding was hanging down.

In one resident room on the Homestead unit, a resident was in bed without clothes but covered with a blanket, yelling and asking why they had no clothes and where their clothes were. The blanket had a dried yellow stain, and the fitted sheet was yellow and stained with dried food. Half of a diaper was on the fall mat next to the bed, a hospital gown was on the floor near the bathroom alcove, and a soiled sheet covered with gnats was sitting on top of the trashcan by the sink. The laminate on the headboard was missing in a section. In another room, a soiled sheet with a pink stain was on the bed, the overhead light in the toilet area was not working, and the ceiling tile in that toilet area was cracked. In additional rooms, there were missing floor tiles, gnats by the toilet, cracked and stained ceiling tiles, missing light covers, and missing laminate on a closet door.

In a room with a wall air conditioner above the radiator, cold air was coming through visible gaps and holes around the unit, with the outside visible through these openings. The bracket around the air conditioner had a black substance, dirt, dust, and cobwebs, and the top of the radiator was full of dust; the electrical box was hanging away from the wall by about an inch, and the bed footboard had peeling laminate and was loose, with a split in the covering of a positioning wedge. Several beds on the unit had no linen, and a staff member reported there had been no linen during the night and that they did not have morning linen to start. The Director of Maintenance and Housekeeping later confirmed that two dryers and a washing machine were down, that they were not able to keep up with laundry, and that there was not enough linen to support the residents. Additional exterior observations included hardy board under the front porch hanging down and a hole in the hardy board, and the Director of Maintenance and Housekeeping stated he had not been aware of the porch ceiling condition until it was pointed out and acknowledged that the air conditioner area had not been cleaned.