Failure to Maintain Clean and Safe Resident Environment
Penalty
Summary
The facility failed to maintain a clean, safe, and sanitary environment for its residents, as evidenced by multiple observations and interviews. In one shared room, a strong urine odor and a dirty, sticky floor were noted. One resident reported dissatisfaction with staff for not emptying his roommate's urinal, which would overflow and cause urine to spill onto the floor and under the curtain to his side of the room. A Licensed Practical Nurse confirmed the presence of a strong urine odor and soiled, sticky flooring in the area near the urinal. Both residents in the room had significant medical conditions, with one requiring staff assistance for activities of daily living and the other requiring supervision. Additional deficiencies were observed in the facility's shower rooms. In one shower room, the toilet was missing, the pipe was covered, and there were missing tiles around the pipe. In another shower room, there was dark discoloration between the shower tiles, a toilet seat that did not fit the bowl properly, and missing tiles at the entrance exposing rough, jagged flooring. These findings were confirmed by facility staff, including a floor technician and a registered nurse. The facility's own policy required maintaining a homelike, sanitary, and comfortable environment, including prompt disposal of soiled linens and addressing lingering odors.