Failure to Maintain Clean and Sanitary Resident Bathrooms
Penalty
Summary
Staff failed to maintain resident bathrooms in a clean and sanitary condition in three of seven observed restrooms. Observations revealed the presence of brown substances on handrails, toilet seats, and over-toilet seat handles, as well as soiled pads and washcloths with fecal odor left in the bathrooms. Strong odors of urine and feces were noted in all three bathrooms, and photographic evidence was obtained to document these findings. The facility's policy on routine bathroom cleaning requires removal of soiled linen, cleaning of wall attachments, support railings, and thorough disinfection of toilets, but these procedures were not followed as evidenced by the observed conditions. Interviews with housekeeping staff and the environmental supervisor indicated that housekeeping was responsible for general cleaning and disinfection, while CNAs were tasked with cleaning up bodily fluids. However, the division of responsibilities led to confusion and incomplete cleaning, resulting in unsanitary conditions. The administrator confirmed the expectation for clean resident rooms and bathrooms, with nursing staff responsible for bodily fluid cleanup and housekeeping for disinfection, but the observed deficiencies showed this process was not effectively implemented.