Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment on both A and B nursing units, as evidenced by multiple observations and staff interviews. Staff reported that the facility removed wipes previously used for resident care, requiring the use of washcloths, which were often discarded after use on residents' private areas. This practice led to a shortage of clean washcloths available on linen carts, with only three to five washcloths observed at a time. Laundry staff confirmed difficulties maintaining adequate supplies due to staff discarding washcloths, and the Nursing Home Administrator acknowledged awareness of the issue. The Corporate Regional Clinical Director also noted the need for wipes. These actions resulted in insufficient linen supplies for resident care. Additionally, numerous environmental deficiencies were observed throughout both nursing units. These included lifted or damaged floor trim, broken or sharp cabinet edges, missing ceiling tiles, dented heaters with sharp edges, uneven septic drains creating tripping hazards, water-damaged and moldy bathroom flooring, and walls with gouges or unpainted plaster. Residents reported persistent odors and discomfort due to these conditions. The Maintenance Director and Nursing Home Administrator confirmed the presence of these issues, which collectively contributed to the failure to maintain a safe, clean, and homelike environment for residents.