Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment as required by regulations. During a tour, it was observed that the clean utility room on One-East had an ice machine with a brown substance on the water outlet and black spotted substance on the piping. The Director of Maintenance/Housekeeping confirmed that the tubing had been in place for a long time and acknowledged the failure to maintain cleanliness. Additionally, several residents reported broken soap dispensers in their bathrooms, which was confirmed through observations in multiple resident rooms. A resident was also heard complaining about the unclean state of a shower room, which was found to have a brown substance in the trash can and a strong odor. The facility also failed to maintain an adequate supply of linens, including washcloths, towels, and blankets, on the nursing units. Observations revealed that the linen carts were lacking these essential items, and the Director of Maintenance confirmed the shortage. These deficiencies were communicated to the Nursing Home Administrator, highlighting the facility's failure to provide a safe, clean, and homelike environment as required by regulations.
Plan Of Correction
1. Facility immediately cleaned ice machine in clean utility room, fixed soap dispensers in resident bathrooms, and emptied trash cans and cleaned shower rooms. 2. NHA/designee will educate Plant Ops manager on clean, homelike environment and correct par levels for facility. 3. Linen and bedding/blankets were purchased and dispersed into cycle. 4. NHA/designee will monitor linen supply for appropriate par levels. 5. Plant Operations Manager to audit clean, homelike environment within facility and linen supply 3x/week for 3 weeks, then 1x/week for 3 weeks. 6. Results to be submitted to QAPI for review and approval.