Failure to Provide Clean, Homelike Environment and Adequate Linen Supplies
Penalty
Summary
The facility failed to maintain a clean, orderly, and homelike environment for its residents, as evidenced by multiple observations and staff interviews. Resident rooms were found with a build-up of white crumbs on the floor, and personal items such as disposable briefs and pillows were piled on chairs at the bedside rather than being stored appropriately. One resident, who was cognitively intact according to their BIMS score, reported insufficient supplies and noted that their room had not been cleaned, with lunch trays and personal items still left out. Staff interviews revealed an ongoing shortage of essential linens and towels since December 2024, leading CNAs to use disposable dry wipes for resident care and struggle to find enough mattress covers. Observations of the linen closet and laundry area confirmed the lack of necessary supplies, with only a handful of towels and other linens available for a census of 46 residents. The monthly linen inventory further documented significant shortages in bath towels, wash cloths, bedspreads, blankets, and bath blankets. These deficiencies resulted in an unsanitary and uncomfortable environment, negatively impacting residents' dignity, comfort, and safety.