Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean, safe, comfortable, and homelike environment for two of its nursing units, specifically the Four and Five Main Nursing Units. During a resident council group interview, two out of eleven residents expressed concerns about the cleanliness of the facility. Observations on the Four Main Nursing Unit revealed a dirty floor in Room 430 with garbage, sticky and black marks, an unclean bedside commode, and a dirty overbed table. These findings were confirmed by an LPN. Further observations on the Five Main Nursing Unit showed multiple brown-stained ceiling tiles, dust around ceiling vents, dirty and stained privacy curtains in residents' common bathrooms, and stained window curtains in Rooms 512-2 and 513-3. The common room ceiling fan and ceiling tiles were dusty, and patches on the hallway walls were unpainted. Additional observations on the Four Main Nursing Unit included brown-stained ceiling tiles, a missing piece of metal from a vent in a common bathroom, and stained privacy curtains in Rooms 406-1 and 416-2. These findings were confirmed by another LPN and the Director of Nursing.
Plan Of Correction
1. Room 430 was cleaned; trash was removed from room, floor was mopped, bedside commode was emptied and sanitized, and overbed table was cleaned. The ceiling in room 409 was cleaned. Missing metal from vent in 4 main common bathroom was fixed. Stained ceiling tiles on units 4 main and 5 Main were replaced. Ceiling vents and common room ceiling fan on 5 main. Privacy curtains were changed in rooms 406, 416, 512, 513, 518 and common bathroom on 5 main. Wall patches on 5 main will be painted. 2. Maintenance director and Environmental Services director will round units to check for items in need of cleaning or repair; items will be addressed by respective departments. 3. Administrator or designee will in-service maintenance and environmental services departments on maintaining a safe, comfortable, clean home-like environment. 4. Administrator or designee will round 5 units weekly for 2 weeks, then 3 units weekly for 2 weeks, then 5 units monthly for 2 months to ensure maintenance and environmental service issues are being addressed in a timely manner. Audit findings will be shared with QAPI committee.