Failure to Maintain a Clean and Homelike Resident Environment
Penalty
Summary
A deficiency was identified when a resident's room was observed to be soiled and unkept, failing to provide a safe, clean, comfortable, and homelike environment as required by facility policy. During an observation with the Resident Care Manager (RCM), liquid was found pooled on the floor between the beds, an overflowing trashcan with wadded tissues was present, and a wadded tissue was seen on the floor near the liquid. Additionally, the resident's bedding was wadded up and piled at the end of the bed. The RCM confirmed that housekeeping had not yet cleaned the room at the time of observation and acknowledged that the bedding should not have been left in that condition. The resident involved had multiple diagnoses, including protein-calorie malnutrition, right-sided paralysis following a stroke, failure to thrive, and dementia. The RCM noted that the resident's roommate frequently puts food on the ground, and housekeeping is aware that the room requires more frequent cleaning. The Housekeeping Manager stated that all rooms are cleaned daily, but this particular room is scheduled for cleaning twice per day due to its tendency to become dirty after meals. However, at the time of the surveyor's observation, housekeeping had not yet cleaned the room after lunch, resulting in the unsanitary and unhomelike conditions observed.