Failure to Maintain Clean, Safe, and Homelike Environment Due to Poor Housekeeping and Linen Shortages
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations and resident complaints. Resident council meeting minutes documented concerns about staff not making beds, changing sheets, emptying trash cans, or sweeping rooms frequently enough. During interviews and observations, one resident was found with an overflowing trash can in her room, which she stated was bothersome. Further inspection revealed her room smelled of urine and feces, with a soiled brief in an unlined trash can and spilled liquids with disintegrated tissues and a toilet paper roll under the bed. Additional environmental issues included a large hole in a wall, ripped wallpaper, a handrail pulled away from the wall, a comb with hair on the floor in a common area, and a stained lounge chair. There were also significant shortages of clean linens, with linen closets lacking washcloths and having limited towels, which staff and residents confirmed led to missed showers and bed baths. The last order for washcloths had been placed weeks prior, with no pending orders for more, and staff interviews confirmed the ongoing shortage. The facility's own cleaning policy required daily cleaning tasks that were not being met. These findings were verified by the Housekeeping and Maintenance Supervisor and corroborated by multiple staff and resident interviews.