Failure to Maintain Clean and Homelike Resident Environment
Penalty
Summary
Surveyors observed that a resident's room was not maintained in a clean and homelike condition as required. During an unannounced visit, the resident was found unresponsive to attempts at arousal, and the room contained unidentifiable brown stains on both the fitted and flat sheets where the resident was lying. The floor was sticky, the door had dried liquid stains, and the baseboards were coated with an unknown caked-on substance. Additionally, the resident's bathroom had feces present on the toilet seat. These observations were confirmed during a follow-up visit with the Director of Nursing, who acknowledged the need for cleaning. A review of the facility's cleaning procedures indicated that resident rooms are to be cleaned daily, including disinfecting sinks and toilets, mopping floors, and spot washing walls and doors when soiled. The resident involved had a history of Schizoaffective Disorder, muscle weakness, hypertension, and severe cognitive impairment, but was independent with transfers and bed mobility. Despite these protocols and the resident's needs, the room was not maintained according to the facility's standards at the time of the survey.