Facility Fails to Maintain Homelike Environment for Residents
Penalty
Summary
The facility failed to provide a clean and homelike environment for two residents, as observed during a survey. Resident 53, who is severely cognitively impaired and requires assistance with daily care needs, was found to have a room with damaged drywall behind the bed. The area measured approximately seven inches long by ten inches wide, with multiple scratches, gouges, and nicks, and the paint was peeling off. The Maintenance Director confirmed that the condition of the drywall was not homelike and required repair and painting. Similarly, Resident 61, who is cognitively intact and also requires assistance with daily care needs, was found to have a room with damaged drywall. The area behind the bed measured approximately three inches wide by five feet long, with multiple scratches, gouges, and nicks, exposing the brown layer of drywall and peeling paint. A Nurse Aide indicated that the damage might have resulted from the removal of padding previously installed for safety. The Maintenance Director confirmed the need for repair and painting to restore a homelike environment.
Plan Of Correction
The wall repairs for both R53 and R61 have been completed. A house-wide audit will be conducted to identify other residents' rooms in need of repair. A new process referred to as Room Rounds will be initiated to ensure the repairs needed are identified quickly. The Nursing Home Administrator or designee will audit 5 rooms a week times 4 weeks. Audits will be reviewed by the Quality Assurance Performance Improvement committee for results, areas for improvement and/or continued auditing.