Deficiencies in Maintaining a Homelike Environment
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment on one of its nursing units, specifically Nursing Unit 2. Observations revealed several deficiencies, including a six-foot section of wall in a resident's room with a large, black linear stain and marring. Additionally, the egress area leading to the laundry building was littered with partially smoked cigarette butts, despite the facility being non-smoking. These observations were confirmed during a meeting with the Nursing Home Administrator. Further observations on Nursing Unit 2 included marred and gouged drywall near the bathrooms of two residents, as well as significantly peeling fake leather on love seats in the lounge area. The dining room walls near the hallway and courtyard door were also gouged at both foot and table height. These findings were discussed with the Nursing Home Administrator, highlighting the facility's failure to maintain a safe, clean, and homelike environment as required by regulations.
Plan Of Correction
1. No residents were harmed. Resident 24's room under the window was repaired and painted. The noted cigarette butts by the egress leading to the laundry facility were immediately cleaned up by the housekeeping staff. Resident 50's bathroom wall was patched and painted. Resident 54's bathroom was patched and painted. The furniture in the Unit 2 lounge was immediately disposed of and replenished with a love seat and chairs collected throughout the facility. The Unit 2 dining room was also patched and painted. 2. The Facility Administrator, Maintenance Supervisor, and Housekeeping Supervisor conducted a visual inspection of the facility and its grounds to pinpoint any areas requiring repair or furniture that might need to be replaced. 3. The Facility Administrator educated the Maintenance and Housekeeping departments to maintain a consistently safe, comfortable, and clean environment for the residents at all times. Maintenance and the Housekeeping Supervisor will complete weekly rounds of the facility and present any noted issues or repairs in the morning meeting. 4. The Facility Administrator and/or designee will conduct random audits on a weekly basis for a duration of four weeks, followed by monthly audits for three months. This process aims to ensure that all residents are provided with a clean and comfortable environment. All completed audits will be presented at the monthly Quality Assurance meeting for evaluation.