That was September 10th. The next day, inspectors returned to find the same crusty brown flaky circles on the floor, the same feces on the toilet exterior, and two bags of trash sitting directly on the bedroom floor outside the bathroom door. One bag contained dirty linens. The other held used gloves, gowns and other contaminated protective equipment.
The scene at Ingleside Manor reflected a facility-wide housekeeping breakdown that left residents living in squalor for weeks at a time.
Resident 13 told inspectors her room "is not cleaned daily" and she wasn't sure "it can even be cleaned weekly." Debris covered her floor, which appeared not to have been cleaned in some time.
Resident 12 described even worse conditions. His room had been cleaned "only once in the last month," he said. Inspectors found a fly strip hanging on the wall next to his bed, dust throughout the room, and food and fluid debris scattered across the floor.
"My room is not cleaned daily," Resident 4 told inspectors. Staff come to clean "once a week if she is lucky."
The housekeeping supervisor admitted the department couldn't meet basic cleanliness standards. "We don't have enough staff to get it all done," she told inspectors on September 15th. When rooms aren't cleaned, she said, staff communicate verbally what wasn't completed and it gets done "the next day."
But inspection findings contradicted that claim. Four days after the initial discovery, the same resident's room still contained the trash bags on the bedroom floor, even though the toilet had finally been cleaned and the floor mopped.
A nursing assistant confirmed the systemic problem. "They are not always able to get to all rooms in a day," she told inspectors.
The facility's own Director of Nursing acknowledged the conditions were unacceptable when shown the contaminated room. The nursing director "indicated R6's room was not clean and should be."
The housekeeping breakdown extended beyond individual rooms. The supervisor revealed that resident concerns about cleanliness weren't even being heard properly. The new Activities Manager, she said, "does not bring other departments into resident council to listen to resident concerns." Instead, if problems arise, the Activities Manager brings issues to individual departments to address.
This indirect communication system left residents like those interviewed by inspectors to endure weeks of living with debris-covered floors, dusty surfaces, and in one case, human waste coating bathroom fixtures.
The inspection found Ingleside Manor failed to ensure residents had a "safe, clean, comfortable, and homelike environment" as required by federal regulations. The violation affected multiple residents and posed minimal harm or potential for actual harm.
The contrast between policy and reality was stark. While the housekeeping supervisor claimed uncleaned rooms would be addressed "the next day," residents reported going a month between cleanings. While staff were supposed to maintain sanitary conditions, inspectors documented feces remaining on toilet exteriors for days and contaminated medical waste sitting in bedroom areas.
Resident 12's room, with its fly strip and month-old cleaning schedule, illustrated how the staffing shortage translated into daily indignities for people who had no choice but to live in the conditions the facility provided.
The September inspection occurred after a complaint was filed about conditions at the facility. Inspectors documented their findings over multiple days, returning repeatedly to the same contaminated room to verify whether promised improvements had occurred.
Even when staff finally responded to the inspector's presence by cleaning the toilet and mopping the floor in the most egregious case, they left the bags of dirty linens and contaminated protective equipment sitting on the resident's bedroom floor.
The housekeeping supervisor's admission that departments lacked sufficient staff to complete basic cleaning duties suggested the problems extended beyond isolated incidents to fundamental operational failures that left residents living in environments that fell far short of the "homelike" standard federal regulations require.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ingleside Manor from 2025-09-15 including all violations, facility responses, and corrective action plans.