Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for several residents, as evidenced by observations of uncleanliness and debris in multiple resident rooms. Surveyors observed trash, paper, and other debris on the floors and under beds in the rooms of four residents. One resident reported that housekeeping had not cleaned his room despite repeated requests over a two-week period, and trash was observed on the floor and under his bed. Another resident confirmed that trash was consistently present on the floor in his room. In another room, surveyors found multiple empty bottles, paper, napkins, and a meal tray slip stuck to the floor, which the housekeeper acknowledged was present despite stating the room had been cleaned that morning. The same resident reported that her room had not been cleaned for about ten days and that the bathroom remained uncleaned even after she reported the issue to staff multiple times. Interviews with staff revealed inconsistencies in cleaning practices, with the regional nurse consultant stating that rooms are cleaned daily and that floor nurses are responsible for ensuring cleanliness, while the housekeeper admitted to cleaning a room that still contained significant debris. Residents' care plans did not document any focus on hoarding behaviors, and the facility's policies require a safe, clean, and comfortable environment. The observations and resident interviews directly contradict the facility's stated cleaning protocols and policies, resulting in a failure to provide the required homelike environment.