Deficiency in Maintaining a Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, safe, and homelike environment for residents in three specific rooms (Rooms 224, 225, and 226). Observations revealed that these rooms had multiple issues, including disrepair of bed frames, air mattresses placed on the floor, and various items such as headboards, footboards, and bulletin boards scattered on the floor. Additionally, there was debris throughout the rooms, and one room had a PTAC unit with its face removed, exposing the inside. These conditions indicate a lack of proper housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment. Furthermore, the facility did not have an ample supply of linens readily available for staff use on four of five hallways (2East, 2West, 1East, and 1West). Staff interviews confirmed the frequent shortage of washcloths and towels, with one staff member noting that the facility had cases of washcloths four to six weeks prior, which were now depleted. The Nursing Home Administrator acknowledged the facility's failure to maintain a clean, safe, and homelike environment and the lack of sufficient linen supply.
Plan Of Correction
1. Linen supply was dispersed into rotation and rooms 224, 225, and 226 were cleaned the same date, 12/27/24. Residents had no negative outcomes. 2. NHA/designee will educate Plant Operations Manager on linen supply, correct par levels, and maintaining a clean, safe, and homelike environment for resident rooms. 3. Linen supply will be audited for ample supply/par level by Plant Operations Manager/designee 1x/week for 4 weeks, then 1x/month for 2 months. 4. Resident rooms will be audited to maintain clean, safe, and homelike environment by Plant Operations Manager/designee 1x/week for 4 weeks, then 1x/month for 2 months. 5. Results to be submitted to QAPI for review and approval.