Failure to Maintain Clean and Sanitary Shower Beds
Penalty
Summary
The facility failed to maintain clean and sanitary shower beds, as evidenced by observations, interviews, and record review. Two residents reported that the shower beds and shower rooms were not clean, with one resident providing photographic evidence of the unsanitary conditions on multiple days. Both residents stated they had been opting for bed baths instead of showers due to the lack of cleanliness. During an observation, a shower bed was found with standing brown water in the crevices, white residue, and brown flakes on both the covering and the frame. Staff interviews revealed that CNAs are responsible for cleaning the shower beds after each use, and the Infection Control Preventionist confirmed that cleaning should occur between each patient use, with a deep clean performed during the night shift. Cleaning supplies, including scrub brushes and disinfectant, were reportedly available in every shower room. A review of the facility's policy indicated that equipment surfaces should be cleaned according to manufacturer instructions, but the observed and reported practices did not align with these requirements.