Failure to Maintain Sanitary and Homelike Environment
Penalty
Summary
The facility failed to maintain a sanitary and homelike environment, as evidenced by multiple observations and interviews. In one instance, a resident's room contained old spoons, cracker wrappers, and expired milk and cereal from the previous day, with an LPN unable to confirm if housekeeping had cleaned the room. Several shower rooms were found with black rings inside toilets, mildew on shower floors, feces on tiled floors, and urine stains, with maintenance and CNA staff confirming the lack of scheduled housekeeping on certain units. Another resident reported that her daughter had to clean her room due to the absence of housekeeping, and ants and excessive trash were observed in her room. Housekeeping staff confirmed that some units did not have assigned housekeepers due to staffing shortages, leaving CNAs to perform cleaning duties, which were not always completed. Additional observations included a resident's room with thick grime along the floor edges, a dull film of grime on the tiles, and dust on the dresser, with the resident stating that housekeeping had not cleaned the room for weeks. The outdoor patio for the dementia unit was found to have a rusted iron fence, a thick layer of dried leaves, overgrown bushes and grass, and unpruned trees, as verified by the DON. Facility policy required regular cleaning and maintenance of resident rooms, bathrooms, and outdoor areas, but these standards were not met, affecting several residents and potentially impacting all residents in the facility.