Based on observations, complaint investigation, record reviews, facility documentation, and staff interviews, the facility staff failed to maintain a safe environment to prevent access to contaminated drinking water for 16 of 23 residents with [DIAGNOSES REDACTED].#2, #3, #6, #8, #12, #13, #14, #15 and Residents #17 through #23) in the survey sample of 23 residents. The facility also failed to post signs in all entries and common areas to alert the public and residents that the facility was experiencing contaminated drinking water resulting in Immediate Jeopardy. The findings Included: The facility staff failed to ensure Environmental Safety after experiencing contaminated water with the Coliform Bacteria in their drinking water since July 16, 2017. …
F253
Environmental Deficiencies
Provide housekeeping and maintenance services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F253 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D125.0% | E375.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F253 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, observations and interviews, the facility failed to provide necessary maintenance services to maintain all resident's beds in good repair. This failure resulted in 1 resident (#1) sustaining a laceration requiring hospitalization and surgery. Finding: A nurse's note, dated 9/9/2012 at 21:15, indicated that Resident #1 was bleeding profusely from his/her leg. The Resident was assessed and sent to the Emergency Department of a local hospital. This surveyor was told by the Maintenance Director that on the morning of 9/10/2012, staff determined that Resident #1 must have received the laceration from the transfer bar on their bed. The transfer bar is manufactured with plastic caps on the end of the metal bars to avoid human contact with the end of the metal bar. …
Based on observation, interview, and record review, the facility failed to ensure the bedside commode used by one of two sampled residents (Resident 1) was safe, comfortable, and hazard free. This deficient practice had the potential to result in resident injury. Findings: During a tour of the facility on 10/3/17 at 3:50 p.m., the bedside commode at Resident 1's bedside had approximately six inches of steel exposed in the front of the commode chair, that was brown in color and ruff to the touch. Resident 1 was not available for interview at the time of the observation. During a clinical record review for Resident 1, the Admission Record indicated the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. …
Based on observation and interview the facility failed to maintain housekeeping services necessary to maintain a sanitary and comfortable interior; The personal refrigerator in Room 410 had frozen milk that expired [DATE]. Room 401, 402 and 210 floors were not kept clean. The common bathroom/shower rooms on hall 100 were not stocked with soap and paper. Non-skid shower mats were not cleaned on hall 400. These failures had the potential to place 72 residents who resided on hall 100, 200 and 400 at risk for decreased feelings of self worth and depression. Findings Included: In a confidential group meeting several residents confidentially stated they were having problems with receiving consistent housekeeping services in their rooms. …
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