Failure to Maintain Clean and Homelike Resident Room Environment
Penalty
Summary
Facility staff failed to maintain a clean and homelike environment for one resident, as evidenced by observations and staff interviews. The resident, who had multiple complex medical diagnoses including end-stage liver disease, MRSA, sepsis, and alcohol-induced dementia, was assessed as cognitively intact. On a specific date, the resident's family member reported concerns regarding the cleanliness of the resident's room, noting that the bed was unmade, trash was on the floor, and the floor was sticky. The DON confirmed these concerns and took steps to have the room cleaned at that time. Further investigation with the housekeeping supervisor revealed that the assigned housekeeper had reported the room as cleaned, but upon inspection, the room did not meet cleanliness standards. The supervisor, along with two housekeepers, observed the same issues reported by the family member. Facility policy required daily cleaning of resident rooms, including mopping, trash removal, and bathroom cleaning, but these procedures were not followed in this instance. The deficiency was confirmed through staff interviews and review of facility policy.