Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment as evidenced by multiple observations on both the 3rd and 4th floors, including both shower rooms. During a tour with the Housekeeping Director, the surveyor observed a shower chair with a ripped cover, a plastic tray on the floor, stained wall tiles and moldings, peeling safety strips in several shower cubicles, and significant discoloration and staining on ceiling tiles. The soiled utility room also had ceiling tiles with brownish discoloration. The 4th floor clean linen room and pantry area were found with heavy accumulations of grayish substances on ceiling vents, and the eyewash area in the nursing station had a heavy accumulation of dust. In the 4th floor dining room, a vent above two residents seated near vending machines was observed with a heavy accumulation of blackish substances, with a total of ten residents and two staff present in the room at the time. Interviews with the Housekeeping Director, RN/Unit Manager, LPN Supervisor, and Assistant Director of Nursing confirmed that these areas should have been cleaned and maintained according to facility policy. Facility documentation, including the Safe and Homelike Environment Policy and Routine Bathroom/Shower Cleaning Policy, outlined requirements for maintaining a sanitary, orderly, and comfortable environment, but these were not followed as evidenced by the observed deficiencies. No specific medical history or conditions of the residents involved were noted in the report.