Failure to Maintain Clean, Homelike Environment and Room Repairs
Penalty
Summary
Facility staff failed to maintain a clean, comfortable, and homelike environment for residents, as evidenced by multiple observations and staff interviews. One resident's bed was found with a large brown stain on the blanket over several days, and three reusable bed pads in the laundry room were observed to have large brown and yellow stains despite being washed. Staff interviews confirmed that stained linens were a recurring issue, and the executive director acknowledged that the stained bed pads were not suitable for use. The account manager for environmental services reported ongoing problems with linen supply and laundering, including issues with bleach dispensing in washing machines. In several resident rooms, privacy curtains were found to be dirty and stained, despite the facility's stated practice of monthly cleaning and as-needed laundering. The account manager for environmental services confirmed that the curtains were not clean and agreed they did not present a homelike environment. Additionally, one resident room was observed to have food debris and spill stains next to and under the beds on multiple occasions, and the environmental services manager acknowledged awareness of the unacceptable room condition. Further observations revealed that some resident rooms were not maintained in good repair, with gouges in the walls exposing plasterboard and unpainted plaster patches. The plant operator and maintenance director stated that repairs were typically made when reported by staff, but walk-throughs to check for needed repairs were inconsistent. He agreed that the rooms required repair and did not present a homelike environment. Facility policy requires the provision and maintenance of clean, good-condition linens and a sanitary, orderly, and comfortable environment, which was not met in these instances.