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F0584
E

Failure to Maintain Clean, Sanitary, and Homelike Resident Environment

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, sanitary, and homelike physical environment for multiple residents. Surveyors observed that one resident’s room lacked a bathroom door, and another resident’s bed light had a visible crack, while a different resident’s headboard was broken off and resting beside the bed. Additional observations included a heavily rusted air vent in one resident’s room, a cracked sink in another resident’s living area, a torn, worn, and soiled fall mat for another resident, and a dresser missing drawers and a toilet with brown staining in another room. One resident’s room had a windowsill with a large brown stain, and another resident’s room had a supplemental feeding administration pole with a large amount of dried supplement residue. During an environmental tour with the Housekeeping Director, surveyors also noted visibly stained privacy curtains in several residents’ rooms, tile flooring in some rooms with unidentified substances and visible staining, and thick dust accumulation on the ceilings of two residents’ rooms. Air conditioning units in two residents’ rooms contained a bird nest, with birds heard chirping from within the units. Closet doors were missing in numerous residents’ rooms. The Housekeeping Director confirmed these environmental issues at the time they were observed. These findings affected 28 of the 107 residents in the facility and were investigated under two complaint numbers.

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