Failure to Maintain Safe and Sanitary Environment Across Facility Units
Penalty
Summary
Surveyors identified multiple deficiencies related to the facility's failure to maintain a safe and sanitary environment across both units reviewed. During a unit tour, surveyors observed a soiled floor with a dried, unknown substance in one room, a clogged shower drain in another resident's bathroom, and soiled side rail padding with dried tube feeding formula in a room where a resident was present in bed with a feeding tube machine. Additional observations included dark colored debris and a piece of wet brown paper in a bathtub that was reportedly out of order, as well as peeling laminated paper on the surfaces of nightstands and television stands in another room. Loose handrails were noted in the hallways on both floors, and push bars on double doors were missing end cap brackets, leaving sharp-edged openings. Interviews with the Director of Environmental Services and the Maintenance Director revealed that neither was aware of the observed deficiencies, despite their stated responsibilities for conducting daily rounds and addressing environmental concerns. The facility's Homelike Environment policy, which requires a clean, sanitary, and orderly environment, was not adhered to as evidenced by these findings. The surveyors communicated these concerns to facility management, highlighting the lack of reporting and awareness regarding the environmental issues present in resident rooms and common areas.