Failure to Maintain Homelike Environment in Dining Room
Penalty
Summary
The facility failed to maintain a homelike environment in one of its resident dining locations, specifically on the first floor nursing unit. This deficiency was identified during a review of the facility's "Homelike Environment Policy" and through observations and staff interviews. The policy, dated 3/14/25, mandates that residents are provided with a safe, clean, and comfortable environment, encouraging the use of personal belongings. However, during an observation on 4/14/25, it was noted that the first floor resident dining room was being used to store a bed, mattress, and two treatment carts, which is not in line with the policy's requirements. Interviews conducted with the unit manager and the nursing home administrator, along with the Director of Nursing, confirmed the presence of these items in the dining room. This situation was acknowledged as a failure to maintain a homelike environment in the specified dining location. The deficiency was documented as a violation of the residents' right to a safe, clean, comfortable, and homelike environment as per the regulatory requirements.
Plan Of Correction
The facility directed correct the deficient practice by removing the bed, mattress, and two treatment carts stored in the dining room. To prevent recurrence, staff have been reminded that dining rooms must not be used for storage. A new designated storage area has been established for extra equipment, and signage has been posted to reinforce this policy. Beginning June 9, 2025, the Unit Manager will conduct weekly inspections of all dining rooms for eight weeks, followed by monthly random checks. Any findings will be addressed immediately. The Administrator is responsible for ensuring the implementation and continued compliance with this plan.