Failure to Maintain Odor-Free and Sanitary Resident Bathrooms and Corridors
Penalty
Summary
The facility failed to maintain clean and odor-free bathrooms and corridors for residents, as evidenced by strong urine and body odors detected in multiple areas outside of the rehabilitation unit. Observations revealed that several resident bathrooms, including those used by individuals with significant cognitive and physical impairments, had persistent foul odors and, in one case, a sticky residue on the floor. Staff interviews confirmed awareness of the odors, with some staff attributing the issue to residents not bathing and expressing uncertainty about how to eliminate the smells, despite using sprays. Medical record reviews indicated that affected residents had complex medical conditions such as Alzheimer's disease, dementia, heart disease, diabetes, and chronic kidney disease, with varying levels of cognitive impairment and dependence on staff for toileting and hygiene. The facility's own policy required a clean, comfortable, and homelike environment with pleasant, neutral scents, but this standard was not met for the majority of residents, as confirmed by both staff and maintenance personnel during the survey.