Failure to Maintain Clean and Homelike Environment
Penalty
Summary
Edenbrook on Second Ave was found to be noncompliant with federal and state regulations regarding the maintenance of a safe, clean, comfortable, and homelike environment for residents. Surveyors observed multiple instances of uncleanliness and lack of proper housekeeping across four out of five nursing units, including Medbridge Hall, A Hall, B Hall, and D Hall. Specific findings included dirty floors, debris, stains, and substance buildups in common areas such as hallways, dining areas, and shower rooms. Resident council meeting minutes also documented complaints about inadequate housekeeping, such as only garbage being emptied, infrequent mopping, use of dirty water, dusty surfaces, spider webs, and uncleaned over-bed tables and bathrooms. Direct observations on the day of the survey revealed numerous cleanliness issues. These included a black mat with debris and discoloration in a dining area, clumps of hair and dirt in hallways, missing and stained tiles, saturated paper, and hair in shower room drains, as well as stained bathtubs and shower chairs. Floors around nursing stations and along baseboards were found with dirt, debris, and substance buildups. Lounge areas had stained trays and furniture, and floors with visible stains. Resident rooms were also observed with splattered substances, paper, dirt, dust, cobwebs, and leaves, as well as stained and dirty bathrooms. Interviews with residents confirmed the ongoing nature of these issues. One resident, with moderate cognitive impairment, stated that his room was never cleaned except when surveyors were present, and surveyors observed his room to be dirty. Another resident, who was cognitively intact, reported that staff did not clean every day and pointed out visible buildups of dirt and dust in her room. The Nursing Home Administrator acknowledged the facility's responsibility to maintain a clean and homelike environment for all residents.
Plan Of Correction
Black mat with white debris, wet paper towel, and black-gray discoloration on floor in front of the ice machine in the Medbridge dining area has been cleaned. Medbridge hallway outside room 108 has been cleaned. Medbridge shower room has been deep cleaned. Medbridge hallway adjacent to nursing station has had the wall cleaned and the floor cleaned. Dirt and debris in the A Hall nursing area has been cleaned including the running board. B Hall Shower room has been deep cleaned - drain, bathtub shower room floor has been cleaned. Plastic glove and pieces of debris including hair and paper have been removed. B Hallway edges and baseboard have been stripped/waxed and cleaned. B Hallway lounge has been cleaned and the floor stripped/waxed. D hall shower room floor, bathtub, shower chair, and drain have been cleaned. Resident #1's room A01-A has been deep cleaned. Resident #2's C07-A room has been deep cleaned. Room 101 has been deep cleaned including bathroom. Resident rooms, lounges, and dining rooms have been audited and areas that need to be cleaned identified and are being cleaned. Facility staff have been educated on the need to provide a safe, clean, comfortable, and homelike environment and on the need to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and homelike environment. B Hallway lounge has been cleaned and the floor stripped/waxed. D hall shower room floor, bathtub, shower chair, and drain have been cleaned. Resident #1's room A01-A has been deep cleaned. Resident #2's C07-A room has been deep cleaned. Room 101 has been deep cleaned including bathroom. Resident rooms, lounges, and dining rooms have been audited and areas that need to be cleaned identified and are being cleaned. Facility staff have been educated on the need to provide a safe, clean, comfortable, and homelike environment and on the need to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and homelike environment.