Failure to Maintain Safe and Sanitary Resident Rooms
Penalty
Summary
Surveyors observed that the facility failed to maintain resident rooms in a safe and sanitary condition, affecting six residents. Specific findings included numerous stains on carpets and chairs, strong odors, dirty toilets, and the presence of brown stains and debris in multiple rooms. In some cases, bedpans with brown stains were found on the floor, and residents' personal items, such as wheelchairs and medical equipment, were improperly stored. Sticky floors, dirty and dusty floorboards and walls, holes and dents in walls, and missing drawers and cabinet handles were also noted. Moldy food, dirty dishes, and evidence of flies were present in some rooms, and in one instance, a resident reported not having clean clothes for several days, with their closet blocked and containing dirty clothing. These observations were confirmed through interviews with facility staff, including the Administrator, CNAs, and the DON. The unsanitary conditions extended to kitchen areas, where dried liquid stains, food debris, and black dirt were found around sinks and refrigerators. In several cases, moldy food was discovered and removed only after being pointed out by surveyors. Residents reported infrequent cleaning, and staff confirmed the presence of dirt, dust, and debris. The findings were substantiated under a specific complaint investigation, indicating a pattern of inadequate environmental maintenance and failure to provide a clean, safe, and homelike environment for residents.