Housekeeping and maintenance services were not adequately provided in multiple resident areas and the laundry room. A surveyor observed dirty and stained floors, rust, chipped or missing paint, stained ceiling tiles, damaged privacy curtains, cracked and stained sink and toilet areas, exposed sheetrock, and untreated or broken surfaces in resident rooms and the laundry area; the ES Director and Housekeeping/Laundry Supervisor confirmed the findings.
Failure to maintain a clean, odor-free environment on the Acadia Unit. Surveyors repeatedly observed a strong, foul urine odor lingering throughout the locked dementia/Alzheimer's unit over multiple days. The RN-Charge Nurse acknowledged the unit has a strong odor and said windows are opened when possible, housekeeping cleans daily, and air freshener sprays are used; the DON was informed of the findings.
Housekeeping and maintenance services were not adequately provided in multiple areas, including the North and East wings, a common area, a dining/sitting room, and the laundry room. The surveyor observed broken and cracked floor tiles, chipped and missing paint, dirty surfaces, damaged privacy curtains, rust, dirty equipment, and other disrepair in resident rooms, bathrooms, hallways, and shared spaces; the DSES confirmed the findings.
Housekeeping and maintenance services were not adequately provided on the East and West units and in the laundry room. Surveyors observed a gel cushion and wash basin stored on the floor, privacy curtains missing hooks, stained and broken ceiling tiles, chipped paint, dried residue on a dining room wall, resident dressers with worn surfaces, an unlabeled graduated cylinder in a shared bathroom, and multiple uncleanable or damaged surfaces in the whirlpool and laundry areas. The Maintenance Director confirmed the findings.
Unsafe and Unsanitary Ice Machine Areas: Multiple unit kitchenette and dining/common areas were observed with ice machine-related environmental concerns, including an improper air gap, warped and damaged cabinet surfaces with dark substance on exposed wood, a drain tube with a large black buildup, and a cabinet storing urinals, an incontinence brief, gloves, and loose garbage bags. Another kitchenette area was heavily soiled with dark unknown substances, and the counter behind the ice machine had exposed cut edges and discoloration from spilled coffee.
Housekeeping and maintenance services were not adequately provided in the laundry room and medication storage room. Surveyors observed chipped wood, broken floor tiles, rusted and damaged surfaces, dirt and debris behind washers, and stained, lifting wall and trim materials in the laundry area. In the medication room, dust and debris and a dried pink substance were found on the floor, and later observations still showed debris plus chipped, missing paint and stains on the wall; the DON and an RN confirmed the findings.
Housekeeping and maintenance services were not adequately provided in multiple resident areas and the laundry room. Surveyors observed food particles and debris on sit-to-stand lifts, commode buckets and a wash basin left on bathroom floors, ripped or torn floor mats and shower threshold strips, broken and disrepair conditions, chipped and missing paint, dried feces and urine on and under a toilet and seat riser, taped-over holes in a shower wall, and untreated wooden pallets in the clean laundry area. The ADON/housekeeping and maintenance leadership confirmed the findings.
Failure to maintain resident room surfaces in good repair. During an environmental tour with the ADM and DOR, surveyors observed duct tape on a floor threshold between a resident room and bathroom, multiple wall gouges from a wheelchair, abrasions behind a lift chair, and a hole in a bathroom wall below a towel rack.
The facility failed to maintain a clean, sanitary, and orderly environment on one unit, as evidenced by multiple rooms with food debris on floors, overflowing trash cans (some without liners), and unbagged soiled washcloths left on over‑bed tables, floors, sinks, and in wash basins. Additional items such as non‑skid socks, plastic utensils, a sheet, and a trash bag were left on floors, while medical items including nebulizer and oxygen tubing, a tubigrip stocking, and medicine cups with residual substances were improperly stored or discarded. A resident reported that a night shift staff member left an overflowing bathroom trash can unemptied at the end of her shift, and leadership confirmed that environmental concerns had been identified on the affected units.
Housekeeping and maintenance services were not adequately provided in a laundry room, a common area, and multiple resident rooms on the Cove Unit. Surveyors observed missing cove base, chipped and missing paint exposing sheetrock, dusty fans and vents, stained caulking, torn fall mats, a broken bathroom light, and unlabeled items on a shared toilet, and the ES Mgr and Maintenance Assistant confirmed the findings.
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