Failure to Maintain Clean Environment and Equipment
Penalty
Summary
The facility failed to maintain a clean and homelike environment in one resident room and failed to provide clean equipment for one resident. Observations in room 520 revealed multiple instances of food items and empty beverage bottles on the floor, which were confirmed by a visitor and the Nursing Home Administrator (NHA) as inappropriate. The facility's policy on maintaining a homelike environment requires a clean, sanitary, and orderly setting, which was not adhered to in this case. Additionally, Resident R37 was observed sitting in a wheelchair with food-like substances stuck to the cushion and frame over several days. The NHA confirmed the presence of these substances and acknowledged that the wheelchair and cushion should have been clean. Resident R37's clinical record indicated diagnoses of anxiety, hyperlipidemia, and hypertension, but the report focused on the cleanliness of the resident's equipment rather than their medical conditions.
Plan Of Correction
1. Room 520 was picked up at the time of notification and was cleaned the same day. R37's wheelchair was cleaned the same day. 2. Nursing Home Administrator or designee will educate all housekeeping staff to ensure the policy and procedure is followed when cleaning resident rooms and wheelchairs. 3. Nursing Home Administrator or designee will educate all housekeeping staff on "Daily Resident/Patient Room Cleaning" and "Quality of Life-Homelike Environment." Staff will date and sign the task checklist daily. 4. The Administrator or designee will audit 5 resident rooms and wheelchairs for cleanliness and signed daily task checklists 3 x week x 2 weeks, 2 x week x 2 weeks, and weekly x 2 weeks. Findings will be discussed at our monthly Quality Assurance meeting and changes will be made if necessary.