Failure to Maintain Clean Equipment and Functional Room Furnishings
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for residents by not ensuring that resident equipment and room furnishings were properly cleaned and maintained. Specifically, one resident's bedside fall mats were observed on multiple occasions to have a dried brown substance splattered on them. Interviews with housekeeping and CNA staff revealed confusion regarding responsibility for cleaning bedside equipment, with both groups indicating the other could be responsible. The Assistant Director of Nursing confirmed the mats were soiled and stated the expectation was for staff to clean spills immediately. The Director of Nursing indicated that housekeeping was responsible for cleaning the mats, but also expected staff to check and clean soiled equipment throughout their shifts. Additionally, another resident's window blinds were found to be bent and not in good working order during several observations. When the window was opened, the blinds flapped in the wind and could not be raised due to the bent slats, with the center of the blinds falling from the support. The Administrator was unaware of the issue and stated that maintenance was responsible for ensuring window blinds were in good working order, but acknowledged that she had not visually inspected the blinds or ensured consistent monitoring by maintenance staff. These deficiencies were identified through direct observation and staff interviews.