Failure to Maintain a Homelike Environment for Resident
Penalty
Summary
The facility failed to provide a clean and homelike environment for one resident, identified as Resident 8, who was cognitively intact and dependent on staff for all care needs due to quadriplegia and depression. During an observation, it was noted that Resident 8's room had areas of broken drywall near the closet and bathroom entrance. The damage was reportedly caused by the footrest of the resident's electric wheelchair scraping the wall when staff forgot to put the footrest up while parking the wheelchair. Interviews with staff revealed that the damage had been reported to the maintenance department, but no work order was found in the system, and the former maintenance director had recently resigned. Maintenance Employee 2 confirmed the need for repairs and acknowledged that the room was not homelike. The deficiency was noted as a failure to maintain a safe, clean, and homelike environment as required by regulations.
Plan Of Correction
1. Repair of both areas of the drywall in resident 8's room was completed. 2. Audit of all resident rooms was done and any other holes found were repaired. 3. Education with all staff completed on completing a work order on any holes observed. 4. Weekly audits x 4 weeks and monthly times 2 months will be completed to check and repair any holes observed in resident rooms. 5. Date of compliance 3/5/2025