Failure to Maintain Clean, Safe, and Homelike Environment for Residents
Penalty
Summary
Surveyors identified multiple failures by facility staff to maintain a safe, clean, comfortable, and homelike environment for several residents. Observations revealed that one resident's room was excessively dirty, cluttered, and had a strong urine odor, with liquid resembling urine on the bathroom floor and a wheelchair with damaged armrests and significant debris. Another resident's room lacked bed linens, had a dirty oxygen concentrator, and contained shoes that did not belong to the resident. A third resident's room was found with dirt and grime on medical equipment, unlabeled creams, and a dirty bedside table, with the oxygen concentrator remaining unclean throughout the survey. Additional residents were observed with wheelchairs that had excessive dirt and debris, and cracked or damaged arm padding exposing foam. Interviews with the DON and Administrator confirmed these findings and acknowledged the ongoing issues with cleanliness and equipment maintenance. The facility's laundry area was also found to be unsanitary, with disinfectant supplies stored in sinks, clothing and shoes stacked on washing machines, thick dust and lint buildup on filters and between machines, detergents and empty chemical containers stored on the floor, and random piles of linen and resident care supplies covered in dust. The Housekeeping Supervisor was unable to provide a completed daily cleaning checklist for the laundry area, and an LPN confirmed the unsanitary conditions. These observations and interviews demonstrate a pattern of inaction and insufficient cleaning practices, directly leading to the cited deficiencies.