Failure to Maintain Clean and Homelike Environment Across Nursing Units
Penalty
Summary
The facility failed to maintain a clean, safe, and homelike environment on both the West and East Nursing Units, as evidenced by multiple observations and resident reports. Specifically, the outer surface and surrounding floor of the ice machine in the East Nursing Unit were visibly soiled, and the wall fabric opposite the ice machine was stained and discolored. The vinyl baseboard molding in the area was also in need of repair. A strong urine-like odor was detected in the Short Hall of the East Nursing Unit, and the floors in a resident room were sticky and tacky, with a foul odor present in both the room and the adjacent hallway. Additionally, a large soiled brief was found in the bathroom sink between two resident rooms. In the dining/activity area of another unit, a buildup of cobwebs was observed behind the counter next to the refrigerator. A resident with chronic kidney disease and paraplegia, who was cognitively intact, reported that after a bowel movement in her wheelchair, staff cleaned her but missed areas of the wheelchair, which remained unclean. Upon inspection, the wheelchair's back support was found to have a rip in the fabric, forming a pocket that contained a thick brown and black residue. The Nursing Home Administrator confirmed that it is the facility's responsibility to provide services to maintain a clean and homelike environment for all residents.