Failure to Maintain Safe, Clean, and Well‑Repaired Environment Throughout Facility
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to maintain the building in good repair and provide a safe, clean, and homelike environment, as required by its maintenance policy. Observations on multiple units showed widespread physical deterioration and cleanliness issues in resident shower rooms and common areas. On the 600-unit, the resident shower room had cracked tiles along the wall adjoining the floor, cracked tiles around the toilet, and black and brown substances on multiple tiles near the toilet and in the grout near the floor. One shower was inoperable and contained equipment, with rust on the faucet handles. The shower room sink was leaking and would not turn off, and there was cracked flooring at the shower room entrance. A hole was also observed in the hallway floor near the recreation room by the 600-unit nurse station. Additional observations revealed similar problems on other units. Between two resident rooms in a hallway, a round metal plumbing cover was raised about one inch above the surrounding floor in the middle of the hallway. In the 400-unit shower room, there was a black substance on all four sides of the shower between the wall and floor and under the sink, paint was pulled off the wall near the sharps box, and both wooden cabinets showed water damage extending about twelve inches up from the bottom, with wood dust and chips on the floor. The 300-unit shower room had black substances around the showers between the floor and wall, cracked tiles in the showers, and cracked tiles near the door entrance. On the 700-unit, the shower room had broken tiles at the wall corner near the door frame and a black substance on the shower floor and around the toilet. The carpet in all six nurse stations was worn down with black areas where the carpet had worn through to the underlying floor. On the memory care unit, surveyors observed multiple areas of wall and trim damage and staining. The wall behind a television had black streaks and chipped drywall, drywall was chipped at a corner near double doors, and trim was separating from the wall in several locations, including under an air conditioner and near a kitchenette where a black substance was present along floor corners and trim was coming off the wall. Paint was chipped or missing on the corner wall near an external door and piano, and on all three sides of the nurse’s desk wall facing the common area. Door frames in numerous resident rooms on the memory care unit were separated from the wall near the floor, and the shower room there had cracked tiles around the toilet and a black substance under the sink and window. In the memory care common area, two love seats and two chairs with multicolored circles had black stains on the arms and seat cushions, which an LPN confirmed had been present for at least five years and were worsening. Housekeeping staff reported that some housekeepers believed floor cleaning was the responsibility of the floor technician and that the floor machine was not working, and the housekeeping supervisor confirmed the floor machine was broken. Maintenance staff confirmed the cracked tiles, black and brown substances, leaking sink, cracked flooring, and hallway floor hole on the 600-unit.
