Environmental Deficiencies in Nursing Units
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents and staff across three of four nursing units. Observations and interviews revealed that a clogged sink in room 126 caused repeated flooding into room 124, affecting the residents in these rooms. The issue was confirmed by both residents and staff, with a nurse inadvertently causing the overflow by leaving the sink running. Additionally, the tour of the facility uncovered various maintenance issues, including a broken bed enabler, missing cabinet doors, and visibly soiled furniture. Further observations during the facility tour revealed additional deficiencies, such as a missing sink handle and toilet paper holder in room 136, a broken footboard in room 207-D, and a missing sink in room 206, leaving a hole in the wall. These issues were confirmed by the Assistant Administrator, indicating a broader problem with maintaining the facility's environment in a safe and sanitary condition.
Plan Of Correction
NHA or designee will oversee the identified areas mentioned in observation #0921 are corrected. Additionally, weekly rounds of a few rooms per week will be conducted by NHA or designee with maintenance, housekeeping and nursing team member auditing environment to identify concerns related to safe sanitary and comfortable conditions of living spaces. Weekly rounds will be conducted for x4 weeks. Subsequently, monthly audit of the above will be conducted. Findings to be reported to QAPI.