Soiled Incontinence Briefs Left in Resident Rooms
Penalty
Summary
Staff failed to provide treatment and care in accordance with professional standards by leaving soiled incontinence briefs in resident rooms after providing care. Two cognitively intact residents, both with documented capacity to make decisions, reported that soiled briefs belonging to their roommates were left on the floor or in the room, resulting in unpleasant odors. These incidents were confirmed through resident grievances and interviews, with both residents stating that the issue persisted despite some improvement. Anonymous staff interviews corroborated the residents' reports, with multiple staff members acknowledging that soiled briefs continued to be left in resident rooms or trash cans, contrary to facility protocol. The ongoing nature of the problem was noted by both residents and staff, indicating that the deficiency was not isolated but rather a recurring issue affecting the cleanliness and environment of resident rooms.