Failure to Maintain Clean, Safe, and Homelike Environment on Two Nursing Floors
Penalty
Summary
Surveyors observed that the facility failed to maintain a clean, safe, comfortable, and homelike environment on both the first and second nursing floors. On the first floor near the nurse's station and a specific resident room, there was a strong odor of urine, which was confirmed by both the DON and the NHA during their walkthroughs. Additionally, the door handle on the inside of the stairwell door was missing, leaving a sharp opening that required individuals to reach into the hole to open the door from the inside, presenting a safety hazard. Further observations in a resident bathroom revealed that the sink was detached from the wall and placed on the floor, and the walk-in shower floor was very dirty. A soiled incontinent brief was found in a wash basin on the shower floor, contributing to a strong odor in the bathroom. These findings were confirmed by the nurse aide assigned to the room and the Environmental Services Director, who also noted that the walk-in shower should be closed off due to the confusion of residents on the floor and their inability to use the shower unsupervised.