Failure to maintain clean and safe physical plant conditions was observed throughout the facility. Surveyors found soiled return-air grills, missing and loose coving, cracked light lens covers, damaged flooring, loose commode parts, stained and warped ceiling tiles, and a corroded microwave interior. Two resident rooms were in complete disarray with soiled linens, commodes containing urine and feces, and plumbing and PTAC issues, while the maintenance system had no specific work orders for the cited concerns.
Unsafe and Deteriorated Parking Lot and Driveway Areas: The facility failed to maintain a safe and functional entry area, with numerous potholes and severe disrepair observed in the parking lot, driveway entrances, employee parking, visitor parking, and main entrance. A resident had to cross the unrepaired driveway to reach the smoking area, and the Maintenance Director stated the parking lot had been an ongoing challenge with no completion timeline provided for repairs.
Failure to Maintain Clean and Safe Physical Plant: A facility environmental review found damaged drywall behind a bed headboard, a non-functional overhead light bulb, heavily soiled and stained wall surfaces and wall/floor junctures near a restroom entrance, and laundry area light lens covers covered with dust, dirt, and dead insect carcasses. A shower grab bar in the central bath was also loose-to-mount, while the maintenance work order review showed no specific entries for the observed concerns despite existing PM and environmental inspection policies.
Mildew-like growth was observed on shower caulk in the 300-hall and 100-hall shower rooms, along with wall covering that was bulging out from the wall in both areas. The HD and SMD acknowledged work orders for the caulking issues.
Poor maintenance and cleaning of laundry and common areas: One of two commercial washers was non-functional for at least two months, leaving soiled laundry backed up and overflowing in the laundry rooms. Surveyors also observed a sink aerator obstructed with mineral deposits, heavily soiled light lens covers, missing flooring tiles, a leaking hand sink faucet, non-functional light assemblies in the spa, and a dust-covered wall fan in an activity room. The facility’s PM and cleaning/disinfection policies required a safe, sanitary, and functional environment, but no specific work orders were found for the cited issues.
Poor Premises Maintenance and Improper Linen Storage: Surveyors observed damaged and dirty bathroom and shower areas, missing tiles, peeling paint, water damage, a hanging ceiling light, slow drainage, and other maintenance issues throughout the facility. Clean linen carts were also found open or uncovered, with one cart containing wrappers and cups among the linens. The NHA stated there was no maintenance director, and the MA said the facility had been without one for about three weeks to a month.
Dirty Shower Room and Damaged Shower Curtain: Surveyors found 1 of 2 shower rooms unsanitary, with an excessive amount of dirt, old dried skin, and debris on and around the shower mat, papers and dirt on the floor, a soiled glove near the toilet, dried white drippings on the inside door, and 2 large holes in the shower curtain. Staff stated the CNA who gave the shower was supposed to clean the room right after use, and the Infection Control Nurse said staff should notify her when the shower room is found dirty.
Poor environmental maintenance and plumbing conditions were observed throughout the facility, including dirty dining room surfaces, broken furniture, chipped paint, dusty vents, wet ceiling tiles, flooded bathroom floors, and deteriorated walls and ceilings. Multiple bathrooms had ongoing plumbing issues such as tubs that continued to run, damaged or missing faucet controls, leaking sink drains, warped flooring, and visible buildup or discoloration, and eight oxygen tanks were found freestanding in a bathroom.
Door sweeps were missing or damaged on exit door #20 in the Skyway Basement, the exterior door in the 200 wing vestibule, and an interior door. Surveyors observed daylight visible under each door, and the MD acknowledged the wear and tear on these frequently used entry doors.
Dirty and Poorly Maintained Bathroom Areas: The facility failed to maintain a clean and homelike environment in 4 of 4 bathrooms observed. Surveyors found dusty and dirty shelves, sticky flooring, dirty walls, dim lighting, dirty heating registers, and air vents with caked-on dust in multiple bathrooms. The Maintenance Director observed the concerns and agreed with the findings.
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