Failure to Provide Homelike Environment Due to Missing Wall Clock and Broken Bedside Table
Penalty
Summary
The facility failed to provide a homelike environment for two residents by not ensuring that one resident had a wall clock in their room and that another resident's bedside table was functional. Resident 89, who had diagnoses including hemiplegia, hemiparesis, depression, and anxiety disorder, was cognitively intact and required varying levels of assistance with daily activities. During an observation, it was noted that Resident 89's room did not have a wall clock, and the resident expressed frustration about having to ask staff for the time. A licensed vocational nurse confirmed that a wall clock should have been provided to assist with orientation and to make the room more homelike. Resident 32, who had hemiplegia, hemiparesis, chronic kidney disease, and generalized muscle weakness, was moderately cognitively impaired and required assistance with most activities of daily living. During an observation, Resident 32's bedside table was found to be broken, leaving personal items exposed. A nurse acknowledged that the table should have been fixed immediately and that the broken furniture was not homelike. Interviews with facility staff, including the maintenance supervisor and the director of nursing, confirmed that it was facility policy to ensure all resident rooms had wall clocks and that furniture and equipment should be maintained in a safe and operable condition. Facility policies reviewed also indicated the importance of providing a safe, clean, comfortable, and homelike environment for residents.