Failure to Maintain Clean, Homelike Environment and Adequate Supplies
Penalty
Summary
The facility failed to maintain a clean, safe, and homelike environment for its residents, as evidenced by multiple observations and interviews. Several resident rooms were found to be unclean, with sticky floors, overflowing trash, stained privacy curtains, and bathrooms with stained caulking. Housekeeping logs indicated that some rooms had not been cleaned or had their floors mopped or trash emptied for several days, particularly over weekends when only one housekeeper was on duty. The Housekeeping Manager confirmed that staffing shortages on weekends prevented all rooms from being cleaned as required. During a lunch meal in the main dining room, a pest control employee was observed spraying chemicals and handling glue traps in the presence of residents eating their meals. The pest control employee also entered the kitchen without a hairnet during meal service. The chemical used, PT Fendona Pressurized Insecticide, has aspiration hazards and should be kept away from food and drink, according to its safety data sheet. The Regional Culinary Manager verified that it was inappropriate to spray pest chemicals during meal service and that the pest control employee was not following proper hygiene protocols. Multiple resident rooms had maintenance issues, such as leaking and moldy air conditioning units, broken headboards, scraped and dirty walls, and floors that were dull, dirty, or covered in debris. Residents and family members reported that maintenance requests, such as mounting a television or fixing air conditioning units, were not addressed in a timely manner. Additionally, the facility consistently lacked adequate supplies and linens, including gloves in appropriate sizes, wet wipes, tissues, towels, and washcloths. Staff interviews confirmed that they frequently ran out of these essential items, impacting their ability to provide proper care. The facility's laundry operations were disrupted due to a fire, resulting in further shortages of clean linens, and the par level for washcloths was insufficient to meet the needs of incontinent residents.