Health inspection·April 15, 2024

F 0908 Keep all essential equipment working safely. Level of Harm - Minimal harm or potential for actual harm Based on observation, record review, and interview, the facility failed to maintain equipment as evidenced by one of two laundry washers not working; two of three laundry dryers not working; one of one unclean gas stove; one of one exhaust hood with peeling paint over stove; and a leaky garbage disposal. Residents Affected - Some Findings included: On 04/15/2024 at 9:55 a.m., an interview was conducted with Staff A, Laundry Aid #1. She stated she had come in early because we (laundry department) were so backed up. One washer and two dryers were not working. They had not been working for almost two weeks. On 04/15/2024 at 10:00 a.m., an interview was conducted with Staff B, Laundry Aid #2. She stated the washer had been down since last Thursday, it had been breaking down on and off, ongoing for the past year. The dryers had been down since Friday, they too, worked on and off. She stated, It is frustrating, we cannot get the laundry done. They will send the family members down to us, and they will scream at us. She said, corporate had known about it. They would blame it on maintenance. She stated, The problem is, we will call the repair people, everyone in the book. They will not come out because they say they have not been paid for the last repair job. We have no hot water. It has been going on over one week. An observation of the laundry room conducted on 04/15/2024 at 10:00 a.m. revealed out of order signs on one of two washers. Bagged and unbagged laundry was observed in front of the washers. Two of three dryers had out of order signs on them. Photographic evidence obtained. On 04/15/2024 at 10:55 a.m., a tour of the kitchen was conducted with the Certified Dietary Manager (CDM) and the Senior Dietary Manager (SDM). The six-burner gas stove was observed to have heavy black debris build up on the flat surface near the burners. The back splash guard on the stove was unclean with black, brown drippings present. The air hood directly over the gas stove was observed to have peeling paint on approximately 20 % of the surface. The Hood and Exhaust Cleaning label on the side of the hood was date punched with a last service date of February 2023, with no written Next Service Date identified. The CDM confirmed the unclean stove surface. A black plastic pan, approximately, 24 inches by 18 inches by 8 inches deep was observed under the garbage disposal near the wash machine. The CDM said the garbage disposal was leaking, the pan would be emptied at the end of the day. (Photographic evidence obtained). On 04/15/2024 at 11:10 a.m., an interview was conducted with the Nursing Home Administrator (NHA), she stated the Maintenance Director had resigned last week, she had a former Maintenance Director she could reach out to if there were any questions Page 1 of 2 105398 105398 04/15/2024 Tierra Pines Center 7380 Ulmerton Rd Largo, FL 33771

F 0908 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some An interview was conducted on 04/15/2024 at 2:10 p.m. with the NHA, she stated she would locate the person for Maintenance, he had stepped out to get a part for the washer machine, it was just a little hose. On 04/15/2024 at 2:33 p.m., an interview was conducted with the Interim Maintenance Director. He confirmed the Maintenance Director for the building left last week. He stated he normally was located in a nearby building and had been called to fill in. When asked if the laundry had hot water, he stated he could not answer that, but the laundry had chemicals, and so hot water was not necessary. He stated for the washer, I just replaced the compartment at the bottom of the washer, what will happen is a comb or such will get caught in the trap and the washer will not work. He said for the dryers, one had a broken belt and one had a broken ignition. He stated, The belt will be here tomorrow. The ignition will take a little longer. He confirmed the chipped paint over the gas stove, and the interior of the hood needed to be painted. He confirmed the gas stove needed cleaning. He stated he just found out about the garbage disposal today, 04/15/2024, and he would look at it. He stated if the maintenance requests were not put into the (electronic maintenance request system) the maintenance department would not know about it. On 04/15/2024 at 3:50 p.m., the Interim Maintenance Director confirmed the work orders for the latter items, the washer, the dryers, the stove, the peeling paint, and the garbage disposal were not in the (electronic maintenance request system) for the maintenance personnel to know to work on them. 105398 Page 2 of 2