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F0921
F

Failure to Maintain Building in Good Repair Throughout Facility

Lorain, Ohio Survey Completed on 03-04-2026

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

Surveyors identified a deficiency in the facility’s failure to maintain the building in good repair, which had the potential to affect all 63 residents. During an environmental tour, they observed widespread physical damage in resident rooms and hallways, including general dents and chipped paint on walls throughout the building. In the hallway outside one resident’s room, there was a hole in the wall near the floor behind a carpeted wall. Inside that resident’s room, there were holes on both sides of the bathroom door. An empty resident room showed significant wall damage on the window wall and missing baseboards. Near the nursing station, the adjacent wall and the area surrounding the thermostat had been patched but left unpainted, and the baseboard on the side of the nursing station was missing. In the hallway by the therapy gym and smoking area, the ceiling had been patched but remained unpainted. Additional observations showed missing or damaged structural elements in multiple resident areas. The rubber baseboard was missing between the bathroom and the entrances to two pairs of residents’ rooms, and the wall between the bathroom and the entrance to another resident’s room was unpainted. A missing transition strip was noted in the doorway of another pair of residents’ rooms. There was a large hole in the wall between the bathroom and the entrance to another pair of residents’ rooms, and the bathroom door for those residents had large holes on both sides. In a follow-up tour and interviews, the Director of Asset Management confirmed these findings and reported that the maintenance director had quit. The Vice President of Asset Management also acknowledged awareness of the physical damage and stated that the facility’s maintenance team handled all repairs in-house. This deficiency was investigated under Complaint Number 2719863.

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