Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's housekeeping and maintenance services, resulting in an environment that was not consistently safe, clean, or homelike. On the first floor, a large hole was found in the wall near the toilet in the shower room, and a ceiling tile was missing in front of the privacy curtain. On the second floor, a ceiling tile near the nurses station had a 4-inch brown stain with black discoloration, and three ceiling tiles in the dining room had large brown stains resembling water damage. In resident rooms, there were significant cleanliness issues, including a used rubber glove, a used plastic cup, a towel, and debris under a bed, as well as a Kennedy cup with brown liquid spilled on the floor and splattered on a resident's bed sheet. Additional items such as used tissues, napkins, and a face mask were found under a nightstand. Residents reported that housekeeping did not clean their rooms daily, and sometimes the floors were so dirty it was embarrassing. Unsafe placement of equipment was also noted, with a tabletop fan positioned on a transfer board atop wheelchair handles, and two positioning wedges in direct contact with the floor. Interviews with the Nursing Home Administrator and DON confirmed that the environment should be maintained in good repair and kept clean and homelike, but these standards were not met in the observed areas.