Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
Surveyors observed multiple instances where the facility failed to maintain a clean, safe, and sanitary environment for residents. In several resident rooms, soiled briefs and bed pads were found on the floor for extended periods, and sticky or visibly soiled floors were noted. One room had a large area of dried spilled liquid on the floor, and a bathroom sink was found with a black substance and cracks, with the substance extending into and under the cracks. The south hall shower room contained a black substance along the walls and in the grout, with the substance extending several inches up the walls and between tiles. These conditions were directly observed by surveyors during their visits and were confirmed by staff interviews. Facility staff, including maintenance and nursing personnel, acknowledged that the observed conditions did not meet facility standards or expectations. The facility's own policy requires regular cleaning and disinfection of housekeeping and environmental surfaces, including immediate cleaning when surfaces are visibly soiled. Despite these policies, the observed deficiencies affected all residents reviewed for environmental conditions, indicating a failure to consistently implement cleaning protocols and maintain a homelike and sanitary environment.