Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for one resident on one of five hallways observed. Facility policy requires that all resident environments, including resident rooms, be kept safe, clean, comfortable, and homelike, with housekeeping and maintenance services provided as necessary. During multiple observations and interviews, it was found that a resident's room had one missing floor tile lying to the right side of the bed and one loose tile under the bed. These conditions were observed on consecutive days, and the resident indicated a desire to have the tiles repaired. The resident involved had a history of unspecified focal traumatic brain injury, hemiplegia, dysarthria, anarthria, epilepsy, mood disorder with depressive features, and anxiety. A recent assessment indicated moderate cognitive impairment. Both the Administrator and Maintenance Director confirmed during an observation that the room was not maintained in a safe, clean, and homelike condition, as required by facility policy.