F584 — Safe, Clean, Comfortable, Homelike Environment
Failure to maintain a safe, clean, comfortable, and homelike environment — including temperature regulation, lighting, sound, cleanliness of resident rooms and common areas, and resident-personalized space.
Reg cite · 42 CFR 483.10(i)
161 surveys in corpus
36 states
What surveyors look for
- Room temperatures consistently between 71–81°F during survey observations
- Bathrooms, mattresses, and high-touch surfaces visibly clean during multiple unannounced rounds
- Resident rooms personalized — photos, mementos, accessible belongings
- Adequate, glare-free lighting; functional call lights within reach
Common gotchas
- HVAC complaints documented in maintenance logs but no temperature reading kept
- Bathrooms with visible mildew on shower curtains/grout during morning rounds
- Resident closets locked or inaccessible due to mobility
- Strong urine odors persisting across multiple corridors
Real survey examples
From CMS-published 2567s in our corpus. Resident identifiers redacted.
Level of Harm - Potential for
minimal harm
Residents Affected - Many
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
Based on observation, interview, NURSING HOME RESIDENTS' RIGHTS from the facility's admission
packet, and the facility's policies for RESIDENT DINING and SERVING OF MEALS; the facility failed to
ensure a homelike environment by not regularly providing a communal dining experience for residents. This
had the potential to affect 81 of 81 residents receiving mea…
Level of Harm - Potential for
minimal harm
Residents Affected - Many
During the initial kitchen tour on [date] at 11:25 AM, Employee Identifier (EI) #4, the Registered
Dietitian (RD), was asked about residents' dining times. EI #4 stated they were not serving dining room
meals, just meals in the room.
Dining observations for lunch on [date] included the following:
At 11:13 AM, staff was observed passing trays. No residents took meals in the dining rooms.
At 11:39 AM, no residents were observed to be served lunch in the A-Wing dining room.
At 5:15 PM, supper service was observed. No residents a…
Level of Harm - Potential for
minimal harm
Residents Affected - Many
Dining observations for supper on [date] included the following:
At 4:47 PM, no residents were present in the main dining room on B-wing for dinner.
At 4:50 PM, the D-Wing was observed with two staff members passing out dinner trays from a food cart in
the hallway and a third staff member pushing the food cart. RI #36 was observed in his/her room eating
independently after set-up.
At 4:55 PM, the D-Wing dining room was observed. The dining room was empty of residents with the door
open and the lights off. Three male residents…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
Based on observations, interviews and review of a facility policy titled, Resident Environmental Quality, the
facility failed to ensure an end cap on a hand rail on one hallway was not missing; six air conditioner vents
were free of dried dustlike condensations; five ventilation returns were free of dust and dried condensations
that were dark i…
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
MTD #26 was asked to describe what he saw. MTD #26 said he saw a heavy dust build up. When asked
how often were the registers were cleaned, MTD #26 said they should be cleaned every month or two and
as needed. When asked what was the concern with the registers not being clean, MTD #26 said it was
unsightly and dust could be inhaled. An observation was made by MTD #26 of the nursing station with the
front piece missing a trim at the corner. MTD #26 was asked what he saw, and replied a missing trim and
exposed tr…
Accepted POC examples
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