Non-Functioning Hand Hygiene Dispensers and Damaged Resident Room Wall
Penalty
Summary
Surveyors observed that multiple resident rooms lacked functioning soap dispensers necessary for hand hygiene, with some dispensers missing entirely from the walls. Additionally, several alcohol-based hand sanitizer dispensers in the north hallway and outside certain rooms were found to be non-functional. These deficiencies were confirmed during a facility tour with the Administrator and DON, who acknowledged that staff had not reported the issues and could not confirm that proper hand hygiene was being maintained. One resident confirmed that her soap dispenser had not worked for several days, leading her to use her own sanitizer. Further inspection revealed that a resident's room had a significant hole in the wall behind the head of the bed, with plaster and drywall debris present on the floor next to a fall mat. The DON and Administrator confirmed that the wall damage should have been addressed and cleaned up. Review of the facility's Enhanced Barrier Precautions policy indicated a requirement for access to alcohol-based hand rub in every resident room, but did not address soap dispensers. These findings affected 14 out of 48 residents reviewed for a safe and sanitary environment.