Failure to Provide Clean, Stain-Free Linens for Resident Care
Penalty
Summary
The facility failed to ensure that linens provided to residents were free from stains and maintained in a clean, comfortable, and homelike condition. During interviews and observations, it was found that a resident reported the washcloths and towels were stained, dingy, and not white, expressing discomfort with using them for personal hygiene. Direct observation of the linen closets confirmed that the available washcloths, hand towels, and bath towels were light brown in color, had several large brown stains, and appeared worn and thin. Staff confirmed that all linens were in similar condition and attributed the staining to the use of washcloths and towels for cleaning up bowel movements after the facility stopped purchasing incontinence wipes. The laundry manager stated that the same linens had been in use for an extended period, and new supplies ordered had not yet arrived. She also noted that the facility had been experiencing shortages of washcloths and towels since discontinuing incontinence wipes, leading to repeated use and further deterioration of the linens. The affected resident had multiple chronic medical conditions, including chronic respiratory failure, diabetes, kidney disease, and cognitive impairment, and was dependent on the facility for daily living supports. The deficiency had the potential to affect all residents utilizing facility linens.