Failure to Maintain Clean and Homelike Environment on Nursing Unit
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean, comfortable, and homelike environment on one of its nursing units. Specifically, in the rooms of two residents, there was visible damage to the walls next to the bathroom doors, with 10 to 12 inches and 2 inches of exposed drywall paper, respectively. In both cases, a hand sanitizer dispenser was installed, partially covering the damaged areas. Additionally, the hallway on the same unit had a painted handrail with the paint worn off, exposing the underlying metal, particularly at the intersection near the nursing station. Further observations included dried brown liquid splatter on the lower portion of the wall behind two medication carts across from the nursing station, and a vent above the nursing station with visible dust hanging on both the interior and exterior, extending to the surrounding ceiling tiles. These findings were reviewed with the Nursing Home Administrator and the Director of Nursing.
Plan Of Correction
1. Any dried liquid observed on the lower portion of the wall behind Med Carts was cleaned the day of survey. The vent above Sage Nursing Station was cleaned the day of survey. Resident 27's and Resident 66's wall next to the bathroom door has been fixed, under the hand sanitizer dispenser. The handrails have been painted on Sage Hallway. 2. A whole house room audit was completed to identify any other resident rooms that drywall is exposed. A whole house audit was also completed to ensure no vents had a buildup of dust, and no walls had dried liquid present. 3. Areas that drywall is exposed will be fixed, vents and walls will be cleaned to ensure a clean, home-like environment. Housekeeping and Nursing staff will be educated to ensure walls are clean. Maintenance Staff will be educated on fixing exposed drywall, painting hand rails when metal is exposed and maintaining clean vents. 4. Environmental audits will be conducted of the Sage Hallway/Nursing Station, daily 4x a week, weekly for 4 weeks and monthly x2 by the Administrator/designee to ensure compliance. Results of the audits will be presented at the QAPI committee to ensure ongoing compliance.