F0584

D

Failure to Maintain Clean, Odor-Free, and Well-Maintained Resident Bathrooms

Fayetteville, North Carolina Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain two resident bathrooms and associated door frames in good repair and to ensure one bathroom was free of urine odor on one hall, affecting three cognitively intact residents. Surveyors observed that the shared bathroom for two residents had a very strong urine odor detectable upon entering the room, with cream VCT flooring that was grayish, aged, scuffed, scratched, and lacking finish or wax. The floor near the toilet base was wet, and a corner of the bathroom floor had three cut tile pieces placed on top of the original floor, creating an uneven, non‑smooth surface that was not easily cleanable. One resident in this room, who was incontinent and did not use the bathroom, reported that he could smell the odor from his bed and did not like it, and he had not reported it because he believed anyone entering the room could smell it. The other resident using the toilet independently did not provide details about the duration or his feelings about the bathroom condition.

Staff interviews confirmed awareness of the bathroom’s condition and odor. A nursing assistant stated that the resident who used the toilet did so all the time and that she had noticed the floor to be wet at times with a bad smell, but she did not report it because she believed anyone entering the room could see and smell the problem. The housekeeper assigned to the hall reported finding water on the floor and an odor in the shared bathroom and stated that the Housekeeping Supervisor was aware. The Housekeeping Supervisor later reported that water would sometimes seep up through the bathroom floor tiles in this bathroom when someone stepped on the floor. The Regional Maintenance Manager stated that the toilet flange in this bathroom was broken, causing water to back up and wet the floor when the toilet was flushed, and acknowledged that it should have been fixed.

A separate bathroom used by another cognitively intact resident on the same hall was also found to be in poor condition. Surveyors observed that this bathroom’s cream VCT floor had black and gray discoloration over most of the surface, appeared aged, scuffed, scratched, and lacked finish or wax, and that the lower portions of the bathroom door frames on both sides had peeling paint exposing brown metal. The resident reported using the bathroom but stated she did not like how it looked, that it made her feel bad, and that she sometimes tried to clean it herself to improve its appearance. She also reported having discussed the bathroom condition with the Administrator months earlier and was told the facility would try to wax and buff the floor to improve it. The Housekeeping Supervisor stated that attempts to clean and treat the floors in both this bathroom and the shared bathroom had not resolved the discoloration and that the floors required replacement, and he indicated the door frames would be repainted when the bathroom floors were fixed. The Administrator acknowledged being aware of the bathroom floor discoloration and environmental issues on the hall since several months prior, based on her rounds.