Unsafe and Unsanitary Housekeeping Conditions: Surveyors observed uneven flooring in a resident lounge, stained tablecloths, black debris, sticky floors, and food and trash left in hallways and resident rooms over repeated tours. On another unit, debris was found throughout the floor and in the café area, along with a dirty carpet, broken blinds, blackened HVAC units, and missing drawer handles on a TV stand. Housekeeping staff reported limited coverage and daytime cleaning routines, but the same conditions remained visible during the survey.
Unsafe and Unclean Resident Areas and Courtyard: Dirty meal trays were left on resident tables while breakfast was served, and a resident said the trays were from the prior meal. Multiple rooms had environmental and maintenance problems, including stained toilets, a loose grab rail, rusty pipe covers, a stuck bathroom door, a loose handle, a damaged ceiling, torn furniture, and a loose vent. The courtyard also had about 100 cigarette butts scattered across the area, and a staff member supervising smoke break was unaware of any cigarette disposal policy.
Unsafe and Uncomfortable Facility Environment: A resident reported that the facility was too hot over the weekend, and staff confirmed that portable A/C units were being used in the hallways because the main A/C had been under repair for an extended period. Staff also identified damaged bathroom walls with bubbled, unpainted repairs on the 1st floor shared bathroom, and reported that paper towels had clogged pipes, causing leaks and wall damage in lower bathrooms.
A facility failed to maintain a safe and functional environment when a resident room window had a large cracked pane with a glass chip visible and a smoking porch had pooled water, active ceiling dripping, and multiple floor cracks exposing concrete. The porch was being used by about 11 residents, most of whom were wheelchair bound or used walkers, and it also served as a common area for fresh air and socializing.
Housekeeping failed to keep a shared resident room, bathroom, and multiple unit areas clean and sanitary. A room occupied by two residents had a strong urine odor, stained flooring, a dirty toilet, and heavy clutter from cups and food containers, while other rooms on Units 4, 5, and 6 had debris, unmade beds, and floors needing cleaning. Staff and the ADM said one resident’s hoarding and resistance made cleaning difficult, but the bathroom and room condition showed the area had not been cleaned for an extended period.
Laundry Area Maintenance Deficiencies: During a complaint survey, water was observed dripping from a hose behind the first washer and later dripping onto the floor, with the MD stating the fitting needed tightening. The surveyor also found an uncovered vent in the folding room and a hole in the wall, while the MD could not verify that a vent cover had been ordered.
Unsafe and Unclean Environment in Resident Rooms and Laundry Areas: A resident reported very loud HVAC noise that disrupted sleep for most of the night, another resident’s room had deep wall marks at the head of the bed, and the laundry area had a rotten egg odor linked to a sewer issue. Surveyors also found damaged cabinets with exposed nails in the clean laundry area and torn baseboards dragging on the floor in the dirty laundry area.
Unsafe and unsanitary hallway conditions were observed throughout 8 of 8 hallways on both floors, including broken, missing, sagging, and damaged ceiling tiles; missing access panel covers; patched but unfinished drywall; black stains; and dirty or damaged vents, light fixtures, and speaker covers. Air handler units in multiple wings, including the Solarium, had thick dust on intake panels and black substance on louvers and surrounding surfaces. In the 1st floor A wing, a dried black substance was seen on the wall and fire exit door, which the Maintenance Assistant said was old oil and sediment from an HVAC leak after a pipe burst; the DON also observed an air handler unit and said it needed cleaning.
A facility failed to maintain a safe and comfortable laundry room environment. Surveyors observed a dryer with an exterior piece leaning against it, exposing parts of the dryer below the drying area, and a horizontal hole in the wall near the doorway between the clean and dirty laundry rooms. An LNA stated the conditions had been present since she started working there about a month earlier.
A facility failed to keep the designated smoking area safe for residents using wheelchairs. A resident and multiple staff reported that the ramp was crooked, the surface was uneven, wheelchairs got stuck, and residents had fallen or been hit by the door, while surveyors observed an inclined ramp leading to a gazebo and uneven surface areas.
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