Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a clean and safe environment across all four nursing units, as evidenced by multiple observations of unclean conditions and strong odors. Resident 85 was observed with an enteral feeding pump that had dried brown liquid splatters on its exterior, indicating a lack of proper cleaning. Similarly, Resident 56's feeding pump, pole, and bagged supplies were also found with dried brown liquid splatters. These observations were reviewed with the Director of Nursing and the Nursing Home Administrator. Additionally, the West Nursing Unit was noted to have a persistent strong odor of urine in the rooms and bathrooms of Residents 68 and 14 over several days. Resident 39's room was found to have a strong urine smell, a dirty floor, and disorganized items on nightstands with broken handles. The walls were marred and peeling. Resident 50's room had a cove base coming off the wall with crumbled pieces on the floor. These issues were brought to the attention of the Nursing Home Administrator and Director of Nursing.
Plan Of Correction
Cited: Resident 85 and resident 56 feeding pump pole was cleaned. Resident 68 and resident 14's rooms and bathroom were cleaned to ensure free of urine odor. Resident 39's night stand handles were repaired by maintenance director. Items in resident 39's room were organized. Resident 50's cove base was repaired in his room behind the head of the bed. • Like: Feeding pumps and poles facility wide were cleaned. Resident rooms and bathrooms facility wide were cleaned to ensure free of urine odor. Resident room floors were cleaned and resident room cove basing and walls were cleaned and repaired as needed. • Education: NHA/designee will educate the environmental staff on ensuring feeding poles and pumps and resident rooms and bathrooms are properly cleaned. NHA/designee will educate maintenance department on ensuring handles of night stands and wall and cove basing are repaired appropriately. • Audits: Environmental Director/designee will audit 5 random resident rooms and bathrooms to ensure cleanliness as well as odor weekly x 4 weeks and monthly x 2 months. Maintenance director/designee will audit 5 night stands and 5 resident rooms weekly x 4 weeks then monthly x 2 months to ensure night stands are appropriate as well as cove basing and walls. Results will be taken through QAPI.