Failure to Maintain Cleanliness and Provide Comfortable Bedding
Penalty
Summary
The facility failed to provide a clean, sanitary, and comfortable environment for two residents. One resident with quadriplegia, anxiety disorder, contractures, and reduced mobility reported that her mattress was uncomfortable and had a large dip in the middle, which had persisted for about a month. Certified Nurse Aides confirmed the resident's complaints and stated they had informed either the Director of Maintenance or a nurse, but there was no documentation of the concern in the maintenance logs. The mattress issue was only addressed after surveyor observation and staff interviews confirmed the problem. Another resident with cerebrovascular disease, dementia, psychotic and mood disturbances, and dysphagia was observed lying in bed with a floor mat and carpet nearby that were soiled with a dried white substance. The housekeeper verified the dirty condition and stated that the room had not been cleaned that day. These findings demonstrate a failure to maintain a clean, sanitary, and homelike environment for the residents involved.