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F0921
E

Environmental Sanitation and Maintenance Deficiencies in Multiple Facility Areas

Grand Rapids, Michigan Survey Completed on 03-19-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe, functional, sanitary, and comfortable environment in multiple areas used by residents, staff, and the public. Surveyor observations identified a volleyball-sized hole in the wall under a three-compartment sink, dilapidated and water-damaged cabinetry under sinks in soiled utility rooms, and deteriorating wall junctures with holes that could be used by pests. Pantries at two nurse stations had undersink cabinetry and areas under an ice machine with accumulated debris, black spots, and water damage. A 500-hall soiled utility room had a strong odor, with a mop sink that appeared dry and emitted hot air from the floor drain, indicating an evaporated p-trap and sewer gas entering the room. The mop sink was connected to a chemical pre-dispense unit with faucet handles left on, creating undue back pressure on the internal vacuum breaker. A converted shower room used as a clean linen room contained multiple water fixtures, including a leaking valve serving a commode that left a puddle on the floor, and a 600-hall soiled utility room hopper was observed leaking from the wall. Additional observations showed unclean and poorly maintained resident care and common areas. In the 500-hall spa room, large tufts of matted hair were present in the wheels of each shower chair. In the 600-hall spa tub room, soaking wet washcloths, towels, and pieces of toilet paper were left in the tub, and a shower chair had brown and yellow staining and streaking down its legs. The garden activity room’s greenhouse area had bubbling and chipping paint and drywall due to routine roof leaks that caused deterioration at the wall juncture under the roof. In the 700-hall lounge, a cushioned chair had accumulated debris and trash under the seat cushion, and there was increased trash and debris on top of a vending machine, along with black spots and accumulation in and on the wall-mounted heating and cooling unit above it. A 300-hall shower room contained a shower bed with black staining underneath the mat.

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