Failure to Maintain Clean and Homelike Resident Environment
Penalty
Summary
A deficiency was identified when a resident was observed in a room that was not maintained in a clean and homelike condition. Over multiple days, surveyors observed dry substances on the tube feeding machine, floor, walls, bedside table, and bed framing in the resident's room. These substances, some of which appeared to be related to tube feeding, remained present despite the passage of time and daily cleaning schedules. The housekeeper supervisor acknowledged awareness of the substances and stated that such conditions should not exist, noting that nurses should address spills promptly before they dry and harden. Additionally, the resident reported receiving a bed bath but indicated that her bed linens, including the pillowcase, had not been changed. The pillowcase was observed to be stained and smelled of urine, and the bed sheets were also found to be soiled with yellow/brown stains. The resident expressed discomfort with the situation, and a registered nurse confirmed that the linens should have been changed during the bed bath. Facility policy requires daily cleaning and sanitizing of resident rooms and bathrooms, but these standards were not met in this instance.