Failure to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for Resident R47. During an observation, it was noted that Resident R47's bed had a red substance on the sheets, and there was a similar red substance on the floor next to the bed. This observation was made on January 14, 2025, at 9:54 a.m. An interview conducted shortly after the observation with LPN Employee E4 confirmed the facility's failure to provide the required environment for Resident R47. The deficiency was identified based on the facility's policy review, observations, and interviews with residents and staff, indicating a lapse in maintaining the standards set forth in §483.10(i) for a safe, clean, and homelike environment.
Plan Of Correction
During the survey, the sheets were changed for Resident #47 and housekeeping cleaned the floor. To identify other areas of concern, the housekeeping director/ designee completed environmental rounds, cleaned debris, mopped/swept floors as needed, and ensured bed sheets were clean. To prevent this from recurring, The Nursing Home Administrator (NHA)/ designee educated facility staff on the regulatory requirements of F584 and ensuring a safe, clean and home-like environment. To monitor and maintain ongoing compliance, the NHA/designee will audit 10 resident rooms weekly x4 then monthly x 2 to ensure residents have a safe, clean and home-like environment (sheets and floor do not have any substance on them). Negative findings will be placed on a concern form and addressed. Ad hoc education will be provided as needed. The results of the audits will be forwarded to the facility Quality Assurance Performance Improvement (QAPI) committee for further review and recommendations.