Failure to Maintain Clean and Sanitary Resident Rooms
Penalty
Summary
Surveyors identified that the facility failed to maintain resident rooms in a clean and sanitary condition, as required by policy. Observations revealed that multiple resident rooms had significant cleanliness issues, including debris buildup under beds, bits of plastic, brown and white stains on bedside tables, yellow stains and caked food on comforters, and unidentifiable splatters on walls. These findings were confirmed during interviews with facility administration and through review of the facility's housekeeping policy, which mandates thorough cleaning of all environmental surfaces and spot cleaning of visibly soiled walls and surfaces. The deficiency affected four residents, all of whom had significant cognitive impairments and various medical conditions such as spinal stenosis, diabetes mellitus, mood disorders, cerebral infarction, aphasia, hemiplegia, Alzheimer's disease, muscle weakness, dysphagia, legal blindness, and major depressive disorder. The observations were made at different times throughout the day and consistently showed that the rooms were not maintained according to the facility's stated housekeeping standards.