Failure to Maintain Clean and Odor-Free Resident Environment
Penalty
Summary
Surveyors identified that the facility failed to ensure a safe, clean, comfortable, and homelike environment for a resident with dementia, as required by regulation. During multiple observations, a strong odor of stale urine and body odor was detected in the resident's room, with the odor being most pronounced near the bare mattress. The odor persisted even when the resident was not present in the room. According to facility policy, housekeeping staff are responsible for daily cleaning of resident mattresses, and nursing staff are expected to notify housekeeping if additional cleaning is needed. The Administrator, who was temporarily covering housekeeping duties due to the departure of the Housekeeping Director, stated that environmental rounds for cleanliness were performed at least daily but was unaware of the persistent odor in the resident's room.