Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
Multiple residents were found to be living in rooms that were not maintained in a safe, clean, comfortable, and homelike manner, as required by facility policy. Surveyors observed unmade beds, overflowing trash cans, dust bunnies, debris, and soiled items such as used gloves and adult incontinence products left on the floor. In several cases, residents' bathrooms were also found to be unclean, with dried stool on toilet seats and trash bags left on the floor. These conditions were confirmed by both staff and residents, who acknowledged that the rooms were not clean or homelike. Interviews with staff, including CNAs, housekeepers, and the Nursing Home Administrator, revealed a lack of a consistent cleaning schedule and inadequate documentation of when rooms were cleaned. Housekeeping staff reported that room cleaning frequency depended on staffing levels and workload, with some rooms not being cleaned for several days. Residents reported having to request cleaning, with some stating their rooms had not been cleaned since admission or that spills and debris remained for extended periods. One resident expressed embarrassment over the state of her room, especially when having visitors. The facility's own policy required regular cleaning of housekeeping surfaces and immediate cleaning when surfaces were visibly soiled. However, observations and interviews indicated that this policy was not being followed. The lack of a structured cleaning schedule and documentation system contributed to the ongoing unclean conditions in multiple residents' rooms, directly impacting their right to a safe and homelike environment.