Failure to Maintain Safe, Clean, and Homelike Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for a resident with severe cognitive impairment and multiple medical diagnoses, including Alzheimer's disease, hypothyroidism, hyperlipidemia, depressive disorder, anxiety, and hypertension. Observations revealed that the resident's room had detached floor trim, scratches, chipping and peeling paint on the walls and furniture, and deep gouges in doors and doorways. The resident expressed dissatisfaction with the room's condition but was hesitant to complain due to being newly admitted. Additional observations in the facility's hallways showed half-painted walls and no detached floor trim, but similar issues with scratches and peeling paint. Interviews with facility staff indicated that CNAs were responsible for cleaning resident rooms, while maintenance handled repairs as time allowed, prioritizing based on urgency. The maintenance staff reported being the only person performing repairs, with assistance from others during slower periods. Housekeeping staff deep cleaned two rooms daily and followed infection control protocols as needed. A review of facility policies confirmed the expectation for a safe, clean, and homelike environment, but the observed conditions in the resident's room and some common areas did not meet these standards.