Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment for its residents, as evidenced by multiple observations of unsanitary conditions in several resident rooms and bathrooms. In one room, an unknown liquid was found on the bathroom floor around the toilet, accompanied by a strong odor of urine, black staining around the toilet seal, and visible dirt and debris on the walls and ceiling. The toilet was continuously running, and residents reported that the bathroom always smelled. Staff confirmed the presence of urine on the floor and acknowledged that one resident frequently urinated on the bathroom floor. Despite having new tiles available, the bathroom had not been shut down for repairs. Repeated observations over several days continued to reveal strong urine odors and unclean conditions, with staff confirming and cleaning the area only after surveyor intervention. Other rooms were also found with unknown liquids, strong urine odors, and maintenance issues such as unattached floor trim and continuously running toilets. In one instance, a resident's room contained a plastic bag filled with clothes that emitted a strong odor of garbage and stale cigarettes, which was confirmed by staff to be dirty laundry. The facility's policy required regular collection of soiled linens, but this was not followed, contributing to the unsanitary environment. These findings affected six residents and demonstrated a pattern of inaction and insufficient maintenance of a clean, safe, and homelike environment.