Failure to Maintain Clean and Homelike Environment in Secured Unit
Penalty
Summary
Surveyors found that the facility failed to maintain a clean and homelike environment in the secured unit, affecting all 17 residents living there. Observations revealed that a shared bathroom used by two residents had a plastic toilet seat riser that was broken, smeared with stool, and stained with dried urine, emitting a foul odor. Despite being used daily by both residents, the seat remained uncleaned and in disrepair over multiple days. One of the residents using the seat was moderately cognitively impaired and required extensive assistance with mobility and toileting, while the other was frequently incontinent and needed assistance with hygiene and transfers. Staff confirmed the condition of the toilet seat and that both residents used it, even though only one had an order or care plan for its use. Further observations in the secured unit's only shower room revealed that the toilet was not consistently flushing for approximately two weeks, despite repeated notifications to maintenance. The floor around the toilet was dirty with significant dirt and grime buildup, and the caulking in the shower stall was discolored with black/grey mold. Maintenance staff confirmed the presence of rust and grime around the toilet and acknowledged recent cleaning and repairs for mold in the shower area. The facility's policy required maintaining a clean and sanitary environment, but these conditions were not met, as verified by staff and maintenance interviews.