Bathroom Ventilation Systems Not Functioning and Contaminated
Summary
The facility failed to ensure bathroom ventilation systems were functioning and clean in rooms 200, 201, 203, 205, 207, 209, 211, and 213. Observations on 3/9/2026 and 3/10/2026 showed that the bathroom vents in these rooms did not draw up a 1 ply sheet of toilet paper, indicating the vents were not working. The vents also contained a whitish, brown substance and debris. Interviews with the Administrator and Maintenance Director confirmed that the bathroom vents in these rooms were not working, that debris was present in the vents, and that the ventilation system had not been checked in a few months with no record of the vents being checked.
Penalty
Resources
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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.
Persistent Urine Odor in Common Areas and Dining Room
Penalty
Summary
The facility failed to ensure that pungent smells of urine did not permeate into common areas and the dining room, potentially affecting all residents. Observations over several days revealed a consistent presence of urine odor in the 300/400 hall nurses station/common area and dining room, as well as the 600 hallway. The urine smell was noted at various times of the day, with some areas also having a musty odor. Interviews with staff, family members, and the ombudsman confirmed the presence of these odors, despite the use of cleaning products and air fresheners by housekeeping staff. The facility's policy on maintaining a homelike environment, which includes pleasant and neutral scents, was not adhered to. The deficiency was identified during a complaint investigation, highlighting the facility's non-compliance with ensuring a clean and odor-free environment. The facility census at the time was 51 residents, and the issue was documented under Complaint Number OH00152901.
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