Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment in the rooms of two residents. Observations of one resident revealed that her feeding pump was covered with a moderate amount of a light brown, sticky substance, and her overbed table had areas with a yellowish/white removable substance. Additionally, a stethoscope hanging from the feeding pump had a large amount of a bright white, dried substance on it. Interviews with a Licensed Practical Nurse and the Director of Nursing confirmed that these items should have been clean but were not. In another resident's room, the wall behind the bed was found to have multiple scratches, cuts, and nicks. The Maintenance Director confirmed that the room required repairs and painting. These observations indicate a failure to provide a clean and homelike environment as per the facility's policy.
Plan Of Correction
1. Feeding pump, over bed table and stethoscope cleaned at time of survey. 2. All feeding pumps were identified and cleaned. 3. The Director of Nursing/Designee will educate staff on Cleaning and disinfecting resident care items. 4. Residents with feeding pumps will have audits completed for cleanliness of pumps and equipment 5x per week x2 weeks, then weekly x4 and monthly x1. Findings will be monitored by the Executive Director and reported to Quality Assurance Performance Committee for additional oversight. 1. Maintenance notified of wall scratches needing repair - Wall repaired. 2. Review completed of resident rooms to identify any other walls in need of repair. 3. The Director of Nursing/Designee will educate staff on Maintenance policy and maintenance request forms and document education. 4. Mock surveyors will monitor walls in resident rooms x5 per week x 2 weeks, then weekly x4, then Monthly x1. Findings will be monitored by the Executive Director and reported to Quality Assurance Performance Committee for additional oversight.