F0584

D

Inadequate Temperature Control and Poor Floor Cleanliness in Memory Care Unit

Ionia, Michigan Survey Completed on 03-25-2026

Penalty

No penalty information released

Summary

Surveyors identified a failure to maintain comfortable temperatures in the Memory Care Unit spa room and to provide a homelike, clean environment in multiple resident rooms. On 03/23/2026 at 2:43 PM, the spa room on the Memory Care Unit was observed to feel cooler than the adjacent hallway. A rapid-read digital thermometer showed an air temperature of 69°F in the spa room, and an infrared thermometer reading off the tile wall showed 64°F. The Maintenance Director stated that 69°F seemed cool for a shower room and acknowledged that there were wall-mounted heating fixtures available in the spa room that could be turned on for additional heat, but these fixtures were not in use at the time of observation. The hallway temperature near the spa room entrance was measured at 70°F, and the thermostat controlling the Memory Care Unit was set at 71°F.

During the initial tour on 03/23/2026 at 9:33 AM, rooms 31–42 were observed to have dirty floors with debris and a heap of caked-on dirt outlining the floor tiles and scattered caked-on dirt that was not easily removable. On 03/24/2026 at 12:48 PM, a housekeeper reported that the floors were hard to clean but stated they do sweep and mop; the housekeeper also reported that the floor buffer machine had not been used for at least six months and verified that the caked-on dirt outlining the tiles in one room did not come off. At 12:56 PM, another housekeeper reported that rooms 31–42 looked dirty because they had been sealed and waxed without stripping the floors first, resulting in dirt that would not come up. Attempts to wipe away the heaped-up dirt in the tile cracks and on top of the tile with a paper towel were unsuccessful. In addition, a bathroom light fixture contained three bugs trapped inside, and the toilet base sealant was observed to be cracked and peeling.