Failure to Maintain Clean, Safe, and Homelike Resident Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean, safe, and homelike environment in several resident rooms. In one occupied room, the bathroom toilet lid was cracked and the ceiling near the entryway had a brown, rust-like substance between the tiles. Another occupied room had brown stains and scratched paint on the wall. A small refrigerator in a resident's room contained a foul odor, spilled brown liquid, unfinished bottles of soda, and ice cream spilled throughout the freezer compartment; the resident confirmed the refrigerator had not been cleaned for a long time and was unable to clean it herself due to physical limitations. Multiple follow-up observations confirmed the refrigerator remained dirty over several days. A bedbound resident was observed with a pillow and board used to hold a cell phone, both of which had stains and organic particles that remained uncleaned over several days. Another resident's wheelchair had an armrest with exposed foam. During an interview, an LPN stated that CNAs were responsible for wiping surfaces daily and as needed. The facility's Administrator, Maintenance Director, and Housekeeping Account Manager acknowledged these issues during a tour.