Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean, safe, and homelike environment on one of its nursing units, affecting 12 out of 17 residents. Observations included unclean and sticky floors in common areas and resident rooms, unmade beds, and the presence of refuse such as empty cups, food, and soiled gloves in various locations. Specific rooms were found with winter holiday decorations and excessive tape on the walls, missing outlet cover plates, broken furniture, and personal items in disarray. In several instances, soiled items such as gloves, incontinence brief pieces, and what appeared to be feces were found on floors, beds, and linens. Some residents were observed lying in beds without linens or with soiled linens, and in one case, a resident was in a bed not assigned to them. Staff interviews confirmed the presence of these unsanitary conditions, with a nurse aide identifying a brown object under a bed as feces. The facility's own policy requires maintaining a clean, comfortable, and homelike environment, including regular housekeeping and maintenance services, but these standards were not met. The Nursing Home Administrator acknowledged the failure to provide the required environment for the affected residents.