Failure to Maintain Clean and Sanitary Environment Due to Severely Soiled Carpets
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, as evidenced by widespread soiling, staining, and deterioration of carpeted areas throughout the building. Observations revealed extensive discoloration, water damage, adhesive residue, and embedded grime on carpet tiles in multiple hallways, the front lobby, and areas near the nurses' station and dining room. Specific findings included large, dark stains, hardened adhesive buildup, fiber pilling, and visible signs of neglect and long-term accumulation of dirt. The condition of the carpets was consistently described as grimy, heavily trafficked, and unsalvageable by both staff and residents. Interviews with housekeeping staff, nursing staff, and maintenance personnel confirmed that the carpets had been in poor condition for an extended period. Housekeeping staff reported that reduced staffing hours had led to less frequent cleaning, and despite their efforts, the carpets could not be adequately maintained. Nursing staff and the DON acknowledged the persistent soiling and wear, noting that the issue had been ongoing since the facility's acquisition earlier in the year. Maintenance staff indicated that bids for carpet replacement were being collected, but no timeline for remediation was provided. Residents also reported dissatisfaction with the cleanliness of the environment, specifically mentioning significant soiling and dark stains in high-traffic areas such as hallways and near the elevator. Review of the facility's homelike policy confirmed the expectation of a clean, sanitary, and comfortable environment for residents, which was not met according to the observations and interviews conducted during the survey.