Failure to Maintain Clean and Odor-Free Carpets in Resident Areas
Penalty
Summary
The facility failed to maintain the resident hallways and common seating area carpets in a clean, sanitary, and odor-free condition, affecting all 76 residents. Multiple observations revealed widespread black and brown stains, some as large as six to eight feet, and a persistent urine odor throughout the hallways and common areas. In one hallway, a foul feces-like odor and a five-foot section of black mold-like substance were noted, reportedly resulting from a previous toilet overflow. The carpets were described as more stained than not, with the original color difficult to discern due to the extent of soiling. Interviews with residents, family members, and staff consistently described the carpets as dirty, stained, and odorous. Several residents with no cognitive impairment confirmed the presence of strong urine odors and visible stains, particularly in the hallways outside their rooms. Staff, including CNAs and an LPN, acknowledged the poor condition of the carpets, noting that spot cleaning was insufficient and that the carpets had not been thoroughly cleaned for an extended period. Family members also reported noticing the dirty and stained carpets during their visits, with some stating that the carpets should have been replaced long ago. The facility's maintenance and housekeeping staff confirmed that only a residential-grade carpet cleaner was available for use, which was primarily used for spot cleaning rather than deep cleaning. The previous commercial carpet extractor had broken and was not replaced, leaving the facility without adequate equipment to maintain the carpets. Resident council meeting minutes documented ongoing grievances about the carpet's cleanliness, with the only resolution being to spot clean, which did not address the underlying issue.