Inadequate Lighting and Unclean Shower Room Environment
Penalty
Summary
The facility failed to provide adequate lighting in a resident's room, as observed during wound care performed by an LPN. The resident, who had severe cognitive impairment and was dependent on staff for activities of daily living, did not have sufficient overhead lighting when the curtain was closed. The available light sources included a sink light, a bathroom light, and an over-the-bed light, but these were not adequate for performing wound care, leading staff to sometimes use a flashlight to provide care. Additionally, the facility did not maintain a clean environment in the C Hall shower room, which was used by 48 residents. Observations revealed brown skid marks of an unidentified substance on the wall by the toilet and a layer of brown unidentifiable material along the walls surrounding the shower area, approximately two inches up from the floor. An LPN confirmed the presence of these substances and that all residents on the C Hall had access to the affected shower room.