Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Surveyors identified multiple failures by the facility to maintain a safe, clean, comfortable, and homelike environment as required by policy. Observations included soiled and debris-laden areas in both the North and South hallways, resident rooms, shower rooms, and the main dining room. Specific findings included dirty blinds, windowsills with cobwebs and dead insects, soiled stop sign banners on resident room doors, and missing floor tiles with debris in the shower room. The shower room was also cluttered with boxes and storage units, and bathtubs contained debris and trash. Ceiling tiles above the nurse's station were stained and discolored, with one tile showing a large area of black substance. The dining room had scattered debris, food splatters on tables and walls, dirty blinds, and chairs with accumulated grime and dust. In resident rooms, several deficiencies were noted. One resident's wheelchair had a torn cushion with exposed foam and accumulated dirt and food particles on the wheel spokes and bed frame. The bedside table contained an empty pickle jar, a can of squirt cheese without a lid, and crumbs, while the drawers were heavily soiled with food and spillage. Another resident's overbed table had open snack items and soda bottles, with crumbs and debris around and under the bed. A third resident's bed control had exposed wires and was nonfunctional, and a urinal three-fourths full of urine was left on the bedside table. The overbed table was sticky with dried brown substances, and the floor had a buildup of dirt, grime, and food debris. Additional observations included soiled banners on room doors and a plastic bag left at the base of a hallway door. Resident equipment was also found in poor condition. Multiple mobility chairs, including Broda and geri chairs, had torn vinyl armrests with exposed foam, and debris was observed in the seat of one chair. The maintenance director confirmed responsibility for repairs, and the night shift was reportedly responsible for cleaning wheelchairs. Housekeeping practices were questioned, as mop water was observed to be dirty, and the frequency of changing mop heads and water did not align with observed conditions. Deep cleaning schedules and checklists were in place, but actual cleaning did not meet the standards outlined, as evidenced by the persistent dirt and debris in resident rooms and common areas.