Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
Facility staff failed to provide necessary housekeeping and maintenance services to ensure a clean, safe, and sanitary environment for a resident. Multiple observations over two consecutive days revealed that the resident's fitted bed sheet had large tan stains and several long streaks of a dark red substance. These stains were consistently present on the bed sheet during each observation, indicating that the bedding had not been changed despite being visibly soiled. A nurse aide confirmed during an interview that bedding is typically changed on shower days or when visibly soiled, and acknowledged responsibility for the resident's care on the day in question but did not notice the soiled sheets. The DON also confirmed the failure to maintain a safe, sanitary, and orderly environment in the resident's room. The deficiency was cited under relevant state codes for management and licensee responsibility.