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F0921
D

Failure to Maintain Clean and Safe Resident Bathroom

Forsyth, Illinois Survey Completed on 09-18-2025

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

A private bathroom with a shower shared by two residents was observed to have a slimy, fuzzy, black material resembling black mold on the grout line above the shower head and where the ceiling meets the drywall. The affected areas measured approximately 5 inches by half an inch and 12 inches by 6 inches, respectively. A housekeeper confirmed that the black substance had been present for an extended period and stated that a work order had been submitted, with maintenance being aware of the issue. However, the administrator later reviewed records from the past three months and found no evidence of a work order being submitted for this problem. Both the administrator and a corporate administrator verified the presence of the black material during their inspection.

See complete original report
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