Failure to Maintain Clean and Safe Shower Room Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean and safe environment in the shower rooms on two units, affecting all residents residing in those areas. Specific findings included a brown substance on the back of a shower chair seat, brown residue underneath a shower bed on the drip cloth, and a peg-tube cap found under the shower bed mattress. Additional observations revealed a brown sticky substance on the floor in the shower area, a missing tile on the shower wall, brown/black substance on the ceiling above the foot washer, brown substance on the wall of the foot washer, three dirty washcloths left in the tub, and standing water near the drain of the tub. These conditions were verified by interviews with LPNs who confirmed the presence of the substances and environmental issues. A review of the facility's policy titled 'Quality of Life-Homelike Environment' indicated that residents are to be provided with a safe, clean, comfortable, and homelike environment. The observed deficiencies in cleanliness and maintenance of the shower rooms were not in accordance with this policy. The issues were identified during the investigation of two complaint numbers and had the potential to affect all residents on the specified units, with a facility census of 73.