Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean and homelike environment in specific areas, as observed during a survey. In the second floor ice room, an ice machine was placed on a wooden platform that had chipped paint and a blackish-brown removable substance on its surface, measuring approximately 10.0 x 15.0 inches. The Maintenance Director confirmed that the ice machine had previously leaked, causing water to drip onto the platform and resulting in the accumulation of the substance. In a resident's room, there were four holes in the drywall to the left of the television, each measuring approximately 5.0 x 4.0 inches. The resident expressed dissatisfaction with the condition of the wall, and both the Maintenance Director and the Nursing Home Administrator acknowledged that the drywall was not homelike and required repair. These observations indicate a failure to provide a safe, clean, and comfortable environment as required by regulations.
Plan Of Correction
Ice machine platform was cleaned with proper chemical and painted. Weekly audits will be conducted 1x per week for 2 weeks to ensure the platform is clean. Ice machine rooms will be added to the monthly housekeeping deep clean schedule thereafter. The audit outcomes will be presented to the Quality Assurance Committee for review and recommendations. The four holes in the Resident 1 room were repaired during the survey and witnessed by surveyor that the holes were patched. The patches were painted and repairs are complete. A whole house audit was conducted for all resident rooms for holes in drywall. All rooms noted to have holes in drywall were patched and painted. Room rounding form was modified to include any dry wall repairs identified in rooms. Members of the interdisciplinary team round in assigned rooms and will identify any rooms with holes in drywall. Rounding sheets will be reviewed at morning meeting (M-F) and work orders entered for repairs.