Failure to Maintain Clean, Sanitary, and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, sanitary, and homelike environment across all four hallways and the dining room, as evidenced by multiple observations of uncleanliness, disrepair, and unsanitary conditions. Surveyors observed an empty, unlocked, and visibly dirty treatment cart parked in the dining room, with crumbs, stains, and debris on and around it. The dining room floor and surrounding areas were also noted to be unclean and scuffed. In several resident rooms, closet doors were off their tracks or not properly installed, walls had unfinished or unpainted patches, and floors were stained or had uncleanable surfaces. In one room, a resident identified a stained and unmovable doorstop and bolt on the floor, while another room had piles of black dirt under the window sill with multiple potted plants above. Shared bathrooms between resident rooms were found to be odorous of urine or bowel, with strong smells detected even before entering. Observations included gaps between flooring and toilets filled with cracked silicone, stained and dirty floors, towels with brown substances, and unlabeled wash basins left on the floor. In some bathrooms, trash cans contained soiled incontinent briefs, and toilets were found with yellow or brown liquids and splattered seats. Items such as plungers and containers were left on the floor or on the back of toilets, and privacy curtains were not fully hooked. Residents reported using these bathrooms with staff assistance, and in one case, a resident believed only a subset of assigned residents used a particularly odorous bathroom. Common areas and additional resident rooms also exhibited deficiencies, such as black stains on lobby floors, overturned medication cups, and unprotected personal hygiene items left on dressers. Housekeepers were present in the dining room during some observations, but issues persisted throughout the day, including the continued presence of debris and stains. The facility's environmental policy outlined daily and weekly cleaning tasks, infection control protocols, and staff responsibilities, but the observed conditions indicated these procedures were not consistently followed, resulting in an environment that did not meet regulatory standards for cleanliness and homelikeness.