Failure to Maintain Clean Environment and Protect Resident Property
Penalty
Summary
The facility failed to provide a safe, clean, and comfortable environment for residents, as evidenced by multiple observations of uncleanliness and lack of maintenance on Unit 2. Surveyors observed peeling wallpaper, dirty and debris-covered floors, a floor mat with a strong urine odor, a soiled wheelchair, and radiators with air vent grates and metal fins heavily soiled with dirt, dust, dried food, and liquids. Glass balcony doors and windows in the dining room were also found to be dirty and covered with fingerprints and grease. Staff interviews revealed a lack of clarity regarding cleaning responsibilities for floor mats and wheelchairs, with some staff unaware of cleaning schedules or which department was responsible for certain tasks. There was no documentation of regular cleaning for wheelchairs, and spot cleaning was only performed when visible soiling was noticed. Additionally, the facility did not ensure reasonable care for the protection of resident property from loss or theft. One resident, who was cognitively intact and had diabetes and anxiety, reported that their personal food stored in the dining room refrigerator was taken and partially eaten by a staff member. The incident was confirmed through surveillance footage, and the facility acknowledged the misappropriation of the resident's property. Despite reminders and inservice training for staff that only resident food should be stored in the dining room refrigerator, subsequent observations found unlabeled, undated, and spoiled food items, as well as staff food, in the refrigerator. Staff interviews confirmed ongoing issues with labeling and storage of food items, and that dietary staff were responsible for checking and maintaining the refrigerator. Facility policies reviewed by surveyors outlined daily and monthly cleaning procedures for floors and common areas, but did not specify cleaning processes for radiators or floor mats. Policies also required that resident food be labeled and stored separately from staff food, and that perishable items be discarded after 72 hours. However, observations and staff interviews indicated that these policies were not consistently followed, resulting in an environment that did not meet standards for cleanliness, safety, or protection of resident property.