Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean and homelike environment on one of its nursing units, affecting five residents. Observations revealed that Resident R52's room was cluttered with trash, soiled items, and potential tripping hazards, such as a footboard on the floor. Despite an Environmental Service (EVS) worker emptying the trash, no significant cleaning was performed, leaving the room in a similar state. Interviews with staff indicated that the resident's actions contributed to the disorder, but the facility did not adequately address the cleanliness issues. Additionally, the room had missing drawer handles, and the floor was not properly cleaned, with food residue and crumbs present. Further observations on the A/E Nursing Unit showed additional cleanliness issues, such as a blocked commode in the shower room, overflowing trash cans, and accessible hazardous materials like an open bleach container. The bathroom trash can for two residents was overflowing, and the floor of another resident's room was littered with trash and crumbs. The Nursing Home Administrator and the Director of Nursing confirmed the facility's failure to maintain a clean and homelike environment for the affected residents.
Plan Of Correction
1. R52 room was deep cleaned immediately. The drawer of the bedside table was placed back inside the table. The screws and metal bracket were immediately removed from room R52. The foot board from R52 room was immediately removed. All trash was removed from R62, R53, R66, R15 and R52 rooms. 2. Trash from A/E unit removed. Shower room and residents' floors immediately cleaned. 3. The Nursing Home Administrator/designee will re-educate housekeeping and clinical staff on the cleanliness of the shower rooms and the importance of proper storage of chemicals. 4. The facility will maintain a clean, homelike environment for the residents. The Maintenance Director, Housekeeping Supervisor and Nursing Home Administrator will complete walking environmental rounds to identify any other areas that may need repaired. 5. The maintenance staff and housekeeping staff will be re-educated on maintaining a clean, homelike environment by the Nursing Home Administrator/designee. 6. The Maintenance Director, Housekeeping Supervisor and Nursing Home Administrator will complete walking environmental rounds weekly to ensure a clean, homelike environment is being maintained. These rounds will be ongoing. Outcomes will be reported to the Quality Assurance Performance Improvement Committee for review and recommendations.