Failure to Maintain Clean, Sanitary, and Safe Environment
Penalty
Summary
Surveyors observed multiple instances of unclean, unsanitary, and unsafe conditions throughout the facility, affecting both resident rooms and common areas. On the first floor, a bathroom was found with a broken toilet paper holder, and on the second floor memory care unit, strong odors of urine and feces were present. An ice machine was leaking water, with towels and bath blankets used to soak up the spill. Several resident rooms were found in poor condition: one room had heavily soiled and odorous bed linens with the call light on the floor, another unoccupied room contained food debris and soiled incontinence products, and additional rooms had debris, unclean bedpans, overflowing trash, dirty linens, and unclean urinals on the floor. Residents reported that staff did not return to clean up after providing care, and trash was observed under beds and on floors in multiple rooms. Housekeeping staff confirmed that there was insufficient staffing to ensure daily cleaning of resident rooms and common areas. Observations also revealed overflowing trash cans, lack of toilet paper in bathrooms, and handrails at the nurse's station contaminated with food, band-aids, trash, and other debris. Facility policy required regular cleaning of surfaces, but these standards were not met. The findings were verified by various staff members, including the DON, LPNs, and the Business Office Manager. The deficiency was investigated under multiple complaint numbers.