F0921

E

Failure to Maintain Safe, Clean, and Well-Maintained Environment

Toledo, Ohio Survey Completed on 03-20-2026

Penalty

No penalty information released

Summary

Surveyors identified that the facility failed to maintain a safe, clean, and adequately maintained environment for multiple residents. In one shared room, the ceiling above a resident’s bed had an approximately four-by-three-foot area of visibly substandard plaster repair from an apparent prior water leak, with unsanded spackling and partially painted areas, and additional water damage repairs on the outside wall. The administrator confirmed the poor-quality ceiling repair, and a CNA reported that one of the residents preferred to remain in bed under this area most of the day except for meals. In another shared bathroom used by four residents, surveyors observed water stains six to eight inches from the bottom of the door, a broken light switch plate, a baseboard heater detaching from the wall, and an unknown hardened sand-like material around and under the heater. A CNA confirmed that this bathroom was in disrepair.

Further observations showed that the facility did not ensure a clean environment in resident rooms and common areas. In the same room with the ceiling repair, the baseboard heating vent had visible buildup of what appeared to be dust. At two nurse stations, ceiling vents had a thick layer of dust, with dust at one station drooping off the vent, and the baseboard heating vent at that station was coated inside and out with a thick layer of dust. The administrator verified these environmental and cleanliness issues. Review of the facility’s “Homelike Environment” policy, dated February 2021, showed that residents were to be provided a safe, clean, comfortable, and homelike environment, including a clean, sanitary, and orderly setting; however, the observed conditions did not meet these policy expectations.