Environmental Deficiencies: Odors, Soiled Equipment, and Unsafe Fixtures
Penalty
Summary
The facility failed to maintain a homelike and safe environment for residents, as evidenced by strong urine odors in multiple resident rooms and shared bathrooms, soiled call light cords, and loose grab bars and toilet seats. Observations on two separate dates revealed persistent strong urine odors in several rooms and bathrooms, with no improvement noted between visits. Additionally, call light cords in several bathrooms were found to be brown and soiled, with some cords wrapped around grab bars, and grab bars and toilet seats were reported as loose. Further deficiencies were identified when peri-cleanser and cream, both used for incontinence care, were found stored in a resident's refrigerator alongside food items. A CNA confirmed that these items should not be stored in the refrigerator and removed them. Housekeeping staff acknowledged that some rooms had persistent odors due to residents not flushing toilets properly and stated that they used odor eliminators and cleaned rooms daily. The DON indicated there was no specific policy for maintaining the environment, but that regulations were followed.