Failure to Maintain Clean and Sanitary Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment in three rooms on hallway 400, as evidenced by multiple observations of unclean conditions. Surveyors observed dirty floors with smeared, dried fruit stains, stained carpets with trash, debris, and food crumbs, and an alcohol pad with dried blood left on the floor. These unsanitary conditions persisted over multiple observations, with residents and staff confirming that cleaning was delayed or insufficient. Residents involved had significant medical and cognitive needs, including diagnoses such as pulmonary disease, heart failure, diabetes, dementia, kidney failure, Parkinson's disease, and mobility impairments. Their care plans indicated a need for assistance with daily activities and highlighted risks such as falls and infection. Residents reported that staff took a long time to clean their rooms and that requests for cleaning were not always addressed promptly. Interviews with housekeeping staff, the Housekeeping Supervisor, DON, LVN, and CNA confirmed that the observed conditions were not acceptable and posed risks for infection control and resident comfort. Staff acknowledged that all employees were responsible for maintaining cleanliness and that the presence of food debris, trash, and blood-contaminated items on the floor was contrary to facility policy and expectations for a homelike, sanitary environment.