Unclean Bed Rail Found in Resident's Room
Penalty
Summary
A deficiency was identified when a resident's environment was found to be unclean during a survey. Specifically, a thick, dried, brown-colored pasty substance was observed on the top and inner side surfaces of the right side bed rail in the resident's bedroom. This observation was made during a concurrent interview and inspection with a CNA, who acknowledged the bed rail was dirty and indicated an intention to clean it. The resident involved was dependent on staff for all activities of daily living and had a gastrostomy tube, as well as a history of delayed childhood milestones. The facility's policy on infection prevention and control, dated April 2025, states that all personnel are trained on infection prevention and control procedures upon hire and periodically thereafter. The DON confirmed the importance of maintaining a clean environment for residents' health and well-being. The failure to maintain cleanliness in the resident's immediate environment constituted a breach of the facility's obligation to provide a safe, clean, and comfortable living space.