Failure to Maintain Clean, Odor-Free, and Well-Maintained Environment
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment on one of its units, as evidenced by persistent and pervasive odors, particularly urine and stale smells, throughout multiple rooms and common areas during the survey week. Observations documented strong and unpleasant odors in several resident rooms, bathrooms, and hallways over consecutive days. The Housekeeping Manager reported that deep cleaning was scheduled for each room at least monthly and that daily quality assurance rounds were conducted, but was unable to provide documentation or logs confirming the completion of these tasks. During a tour, the Housekeeping Manager acknowledged the odors and suggested that the floors might be the source, indicating a need for more thorough cleaning. Additional maintenance concerns were identified, including an oxidized faucet in a resident bathroom, a corroded faucet and broken cabinet doors in the dining room, and a visibly dirty window air conditioner with a black substance present. Photographic evidence of these issues was obtained and shared with the Regional Nurse Consultant, who agreed with the concerns. No specific residents' medical histories or conditions were detailed in relation to the deficiency, but the observations were made in both occupied and unoccupied rooms.