Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, homelike environment for two cognitively intact residents, as evidenced by multiple observations and resident interviews. One resident reported that the facility was filthy, with overwhelming odors and insufficient staff to maintain cleanliness, stating that housekeeping only lightly mopped the floors without scrubbing. Another resident described persistent odors of urine and feces throughout the building and mentioned a leak during heavy rain. Both residents' assessments confirmed their cognitive intactness at the time of the interviews. Surveyors observed dirty and sticky dining room floors on several occasions, along with strong urine odors in various areas of the facility, including the dining room and resident hallways. Staff interviews revealed that CNAs would notify housekeeping of cleaning needs or use air freshener themselves, while the housekeeping supervisor stated that rooms were cleaned daily and air freshener was used for odors. The facility's cleaning protocol outlined daily cleaning tasks, but observations and resident reports indicated these were not effectively implemented, resulting in an environment that did not meet standards for cleanliness and comfort.