Environmental Deficiencies in Resident Rooms and Common Areas
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable environment on two nursing units, specifically the second and third floors. Observations revealed several environmental issues, including loose and wobbly assist bars on toilets in rooms 204, 307, and 309, which could pose a safety risk to residents. Additionally, the towel racks in room 307 were loose, and there was a dried orange substance on the floor in front of the closets for beds three and four in room 309. The bathroom doorway in room 311 was soiled with a dried brown stain, and the heater was damaged. The window curtain in room 312 was soiled, and the fall mat had dust and several dried, gray spots on it, while the pedal to control bed height was covered with a layer of dust. Further observations included a soiled floor with a brown substance and a damaged heater with peeling paint by the heater in room 313. There was a cracked tile and peeling wallpaper near the window in the dining room, and the privacy curtain in room 314 (bed one) was soiled with brown stains. These findings indicate a failure to maintain a sanitary, orderly, and comfortable interior, as required by the regulations, and highlight the need for improved housekeeping and maintenance services to ensure a safe and homelike environment for residents.
Plan Of Correction
1. The facility has repaired the loose and wobbly assist bars in rooms 204, 307, and 309. The towel racks in room 307 were secured, and the scuffed and damaged table in the dining room across from room 215 was replaced. The dried orange substance in room 309, the brown stain in room 311, and the brown substance on the floor in room 313 were cleaned. Heater damages in rooms 311 and 313 were repaired. The soiled window curtain in room 312 and the privacy curtain in room 314 were removed and replaced with clean curtains. Additionally, the fall mat and bed pedal in room 312 were thoroughly cleaned and sanitized. The cracked tile and peeling wallpaper in the dining room were repaired, and the affected area was repainted. Peeling paint by the heater in room 313 will be repaired. 2. An environmental audit of all resident rooms and common areas was conducted to identify any similar environmental concerns. Any issues identified were immediately addressed. 3. All Maintenance Department staff will be reeducated on Weekly Environmental Safety Rounds. All Housekeeping staff will be reeducated on daily cleaning protocols. 4. Environmental audits will be completed weekly. Findings from audits will be reviewed during monthly Quality Assurance and Performance Improvement (QAPI) meetings, and QAPI will determine further action planning and discontinuation.