Failure to Maintain Sanitary and Safe Resident Rooms
Penalty
Summary
Facility staff failed to maintain a safe, functional, sanitary, and comfortable environment in three sampled resident rooms. In one room, the air conditioning/heating wall unit (p-tac) contained a large amount of thick dust and debris, including torn paper or wrapper, and the bathroom ceiling light cover was missing, leaving the bulb exposed. The bathroom vent was rusted and covered in dust, the bathroom door was soiled around the doorknob and edges, and a nightstand had multiple areas of a dried, light-brown substance. These conditions remained unchanged upon re-inspection the following day. In another room, the p-tac unit was observed with thick dust, debris, food crumbs, and two dead bugs in the grates. The window curtains had fallen down in the middle, with several sharp-ended curtain hooks left in the windowsill, and the curtains had multiple dark stains. The overbed table's leg supports were soiled with a white substance, and two broken overbed tables were in use, one of which could not be raised or lowered and had non-functional wheels, while the other had an unstable tabletop. The p-tac unit remained uncleaned upon follow-up, though the curtains had been re-hung. In a third room, the bathroom toilet bowl had a large, brown smear of feces on the outside, approximately the size of an average woman's hand. This unsanitary condition was observed repeatedly over two days, with no change despite multiple observations and staff being made aware. Facility policy required daily cleaning and spot cleaning of all necessary areas, but staff interviews revealed that rooms were not cleaned every day, and the observed deficiencies persisted throughout the survey period.