F0923 F923: Have enough outside ventilation via a window or mechanical ventilation, or both.
D

Bathroom Ventilation Systems Not Operational

Accura Healthcare Of FullertonFullerton, Nebraska Survey Completed on 04-02-2026

Summary

The facility failed to ensure that ventilation systems were operational in residents' bathrooms in rooms 33, 34, 36, 39, 40, and 41 to prevent odors. During observations on 3/30/26 and again on 3/31/26, the bathroom fans were running but did not draw a 1-ply square of toilet paper, showing the ventilation was not functioning properly. In interview, the Maintenance Director stated that the bathroom ventilations were only checked monthly when cleaning the vents and that the fan was considered working if it could be heard running; the Maintenance Man stated he was not aware the bathroom ventilation systems were not working and confirmed the fans came on but did not pull the toilet paper. The Maintenance Director confirmed the ventilation system was not working, and the Administrator confirmed the bathroom ventilation was not working and that there was no policy and procedures regarding the ventilation system.

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.

Resources

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Persistent Urine Odor in Common Areas and Dining Room
F
F0923 F923: Have enough outside ventilation via a window or mechanical ventilation, or both.
Short Summary

The facility failed to prevent pungent urine odors from permeating common areas and the dining room, affecting all residents. Observations and interviews confirmed the presence of these odors over several days, despite housekeeping efforts. The facility did not adhere to its policy on maintaining a homelike environment with pleasant scents.

No penalty information released
tooltip icon
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.

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