Failure to Maintain Safe, Clean, and Comfortable Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, and comfortable environment across all four nursing units. Specific findings included debris and dark or black substances splattered on hall floors and in multiple resident rooms, red and brown spots on floors and ceilings, and damaged walls and ceilings in various locations. Additional issues included a broken radiator with sharp, loose parts in the resident lounge, damaged mirrors in several bathrooms, and the presence of flying winged insects around the nurse's station and in resident rooms. There was also a strip of peeling wood sticking out from a closet door, contributing to unsafe conditions. Further observations in the shower room revealed a musty smell, grey and brown residue on floor tiles, a yellow substance on a shower chair, worn non-skid strips, residue on all shower curtains, missing hooks from shower curtains, a black substance on a non-skid mat, and a brown and red substance on the floor in front of the scale. These findings indicate that housekeeping and maintenance services were insufficient to maintain a sanitary, orderly, and comfortable interior, as required by federal and state regulations.
Plan Of Correction
Splatter on floors, ceilings, and walls were cleaned. Radiator in unit 2 lounge will be repaired. Mirrors will be replaced in rooms 217, 224, 308, 309, 310. Exterminator to be in to address flying winged insects? The wall in room 300 was repaired. Shower room curtains cleaned, odor free; shower chair replaced. Non-skid mat in 3rd shower room cleaned. A cleaning schedule will be put into place, to include resident rooms and shower rooms. Floor care will be placed on a routine schedule. All housekeeping and maintenance will be re-educated on cleaning of the facility. Audits will be completed by the IDT team daily x4 weeks then weekly x4; then monthly x2 with results to be reported to the QAPI committee.