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F0584
E

Environmental Disrepair, Unsecured Chemicals, and Poor Sanitation Throughout Facility

Cleveland, Ohio Survey Completed on 03-03-2026

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 deficiency involves the facility’s failure to maintain a safe, clean, and homelike environment, including unsecured cleaning supplies and multiple environmental disrepairs. Surveyors observed several unlocked cleaning supply closets on multiple floors, with housekeeping staff confirming that the closets remained unlocked because there were no keys, despite expectations that cleaning supplies be secured at all times. A dirty medication cart with dried brown splatter was also observed. These conditions affected multiple residents and had the potential to affect all residents in the facility. Additional deficiencies were identified in resident rooms and common shower areas. One resident’s room had an extremely dusty wall air-conditioning unit, damaged floor trim with flaking drywall, and a bed that did not work and was missing electric plugins. Another resident’s room had a non-functioning over-bed light despite multiple requests for repair, yellow-green splatter on the wall, a dirty floor, chipped paint, a dusty standing fan, water stains on the wall from a leak, and a hole in the drywall behind the bed. Other rooms had large amounts of paint chipping by windows, multiple ceiling tiles with large brown water stains above beds, a large hole near a wall air-conditioning unit stuffed with a towel, and floors with holes and large pieces of floor tiles missing. Two residents’ room sink was leaking into a basin placed underneath. Common shower and corridor areas also showed significant deterioration and unclean conditions. On one floor, a women’s shower room had a clogged toilet with feces and urine, clothing items on the floor, peeling paint above the shower, and water-stained ceilings. Another women’s shower room lacked a light fixture cover, had non-functioning bulbs with debris flaking from the fixture, cracked tiles, mildew and rust buildup, missing wall tiles exposing a large hole and wall structure, peeling paint, visible water leaking from the ceiling, and rust on the floor. A men’s shower room had a used towel left on a bench and large brown water stains and a water-filled bubble in ceiling tiles, with wet ceiling tiles and missing wall tiles in a standing shower. Surveyors also observed multiple stained ceiling tiles near a nurses’ station and repeated outages of one of the main elevators, which staff reported frequently broke down and required ongoing troubleshooting.

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