F0584

D

Failure to Maintain Safe and Well-Maintained Resident Bathroom Environment

Cuyahoga Falls, Ohio Survey Completed on 03-03-2026

Penalty

No penalty information released

Summary

The facility failed to maintain a safe, clean, and comfortable bathroom environment for Resident #10, whose bathroom had two softball-sized holes in the wall where the baseboard was missing under the sink, exposing the interior of the wall. Resident #10 had been admitted with diagnoses including Alzheimer's disease, severe protein calorie malnutrition, peripheral vascular disease, hypertension, depression, chronic kidney disease, and left eye blindness, and the admission MDS documented moderately impaired cognition, no psychosis or behaviors, a need for setup or clean-up assistance with toileting, occasional urinary incontinence, and full bowel continence. On two separate observations, surveyors noted the same unrepaired holes in the bathroom wall. During interviews, the Director of Support Services stated he was unaware of the damage and acknowledged he did not conduct environmental rounds, and the Administrator confirmed the facility did not perform regular environmental rounds, instead relying on informal daily walk-throughs to notice needed repairs.

This deficiency was cited under the resident’s right to a safe, clean, comfortable, and homelike environment, specifically related to maintaining the bathroom in a safe and comfortable manner, and was investigated under Complaint Number 2743199.