Failure to Maintain Clean and Homelike Resident Environment
Penalty
Summary
The facility failed to maintain a clean and stain-free environment for two residents, as evidenced by observations and interviews. One resident, who was cognitively intact but dependent on staff for mobility and hygiene, had a window curtain with a large brown stain that had been present for several months. The resident's family member reported notifying staff about the soiled curtain approximately three months prior, but no action was taken to address the issue. Another resident, who was moderately cognitively impaired but independent in mobility and hygiene, reported that both the privacy and window curtains in their room were dirty, with visible grease-like stains and a black spot. The resident stated that despite repeated requests over a seven-month period, housekeeping had not cleaned or replaced the curtains. During observations with the housekeeping supervisor, the presence of stains on both residents' curtains was confirmed. The supervisor acknowledged that the curtains were not clean and that the environment was not homelike, attributing the oversight to staff not checking the interior side of the curtains. Facility policy requires a clean, sanitary, and orderly environment, but this standard was not met for these residents, resulting in an unsanitary and non-homelike living space.