Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Facility staff did not maintain a clean, safe, and homelike environment on multiple nursing units, as evidenced by numerous observations of unsanitary and disorderly conditions. On wing C, room C-12 was found to have gnats, used cups, excess food crumbs on the floor, dirty bedside tables, used utensils, and used applesauce cups left on bedside tables, along with a foul urine odor. On wing D, near room D-19, a large bin with used breakfast cups and plates and gnats was observed. Room D-21 had used portable urinals hanging on a trash bin, used napkins and plastic wraps on the floor, and dirty bed linen. Room D-26 contained excess trash on the floor, food crumbs, and gnats. Additional observations on the second floor units revealed a collection of used breakfast items in a large bin near the day room and the presence of gnats. During lunch meal service, used linen and foot rests were stored under tables in the dining room. Further issues were noted in the 1st floor dining room, where only two tables were available, the back half was used to store bed frames, and three resident meal trays from breakfast were left on a table. The Registered Dietitian confirmed that few residents use the dining room for meals and verified the observed conditions. Additional deficiencies included a sink hanging off the wall in room A-9 and stained window shades in room A-11. These findings demonstrate a failure to provide a clean, safe, and homelike environment as required by facility policy and state regulations.