Failure to Maintain Clean and Homelike Resident Environments
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for two residents. Observations revealed that one resident's room contained several pieces of trash on the floor, dirty bed sheets with multiple stains that appeared unchanged for several days, and a bathroom with trash on the floor and fecal stains on the toilet seat. The same resident's room and bathroom were later found to be cleaned, but the bed sheets remained unchanged. The resident expressed dissatisfaction with the dependability of the staff and declined further conversation. In another room, the armoire was observed to be old, with peeling paint and holes, and the resident confirmed it had been in that condition for some time without requesting a replacement. Interviews with housekeeping and nursing staff indicated that rooms are cleaned once daily and sheets are typically changed on shower days. Staff reported that the first resident is often resistant to having his room cleaned or sheets changed, so these tasks are performed when he is not present, such as when he is outside smoking. Despite this, the room was not always cleaned or the sheets changed when the resident was absent. Facility policy requires a clean, sanitary, and homelike environment, including clean bed and bath linens, but these standards were not consistently met for the two residents observed.