Failure to Maintain Homelike Dining Environment and Provide Clean Linens
Penalty
Summary
Surveyors observed that the facility failed to maintain a homelike and clean dining environment for residents during lunch service. Specifically, the main dining room contained a full-size refrigerator with a padlock and visible dust and dry food on it, a counter with dirty dishes, silverware, and cups left from breakfast, and a mop bucket with dirty water and a dirty mop in the corner. Additionally, a sheet pan rack held bins and trays with leftover breakfast remains. These conditions were confirmed by the Regional Dietary Services Director during the lunch period and affected eight residents who were present in the dining room at the time. In a separate incident, a resident with a history of urinary tract infection, metabolic encephalopathy, and neurocognitive disorder was observed to have a cut on her elbow and was using a pillow without a pillowcase that had several dried blood stains. The resident's bed sheet also had multiple spots of dried blood on both the top and side. This condition was confirmed by an LPN later in the day. Review of the facility's policy indicated that residents should be provided with clean bed and bath linens in good condition, which was not adhered to in this case.