Failure to Maintain Clean and Safe Resident Bathroom Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in a resident bathroom. A resident with Alzheimer's disease, unspecified dementia, type 2 DM, pseudobulbar affect, and chronic kidney disease, admitted on 06/15/21, was dependent on staff for showering/bathing and toileting hygiene per a quarterly MDS. During observation of this resident’s bathroom, surveyors noted a black substance around the base of the toilet. The vanity beneath the sink showed apparent water damage, including a large hole in the wood through which the facility floor was visible, and multiple areas of black substance on the damaged wood. During a concurrent interview, the Maintenance Coordinator confirmed the presence of the black substance around the toilet and under the sink in the vanity, though he stated he did not think it was mold. A CNA who had worked at the facility for over a year and a half reported that the wood at the bottom of the vanity had been damaged and discolored since she began working there. Email documentation from 03/12/26 referenced a prior resident room bathroom project quote from 2016 for 25 resident rooms. The facility’s Environmental Service policy, last updated 07/01/25, stated it was the facility’s policy to maintain the resident environment in a clean and sanitary condition. This deficiency was cited under Complaint Number 2800297.
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