Failure to Maintain Clean and Sanitary Resident Environment
Penalty
Summary
The facility failed to maintain a clean, safe, and sanitary environment for residents on the 400 unit, as evidenced by multiple observations and record reviews. Six residents, most with impaired cognition and psychiatric or neurological diagnoses, were directly affected. Observations included dried coffee stains, food and paper debris on the floors, overflowing trash, food stored improperly in dresser drawers, stained linens, and a heavily soiled pillow. Additionally, one room had a strong urine odor, a wet and rusted bathroom floor, and a toilet seat covered with dried feces. Another room had a significant presence of gnats around the sink and countertop. Interviews with staff revealed that housekeeping services were not provided daily on the unit, and a CNA reported bringing in personal cleaning supplies to address the ongoing mess. The housekeeping cleaning schedule showed missed cleaning days, and the facility's policy required maintaining a homelike environment. The Housekeeping Director confirmed the findings during the survey, and a housekeeper assigned to the unit was pulled from another area, indicating inconsistent cleaning practices.