Failure to Maintain Cleanliness and Timely Repairs in Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public in two rooms on the 200 hallway, affecting two residents. Observations revealed that the floors in both rooms were dirty, with food crumbs, stains resembling dried coffee, and plastic wrappers present. One resident reported that her room was rarely swept or mopped, and both she and her family member stated that cleaning was inconsistent and only occurred when specifically requested. Pest control devices were observed throughout the room, and the resident mentioned the presence of bugs, with pest control personnel placing traps in the area. The second resident's room was also found to be unclean, with sticky floors and food debris, and he noted that cleaning times were inconsistent due to the lack of a designated housekeeper for the hallway. In addition to cleanliness issues, the facility failed to address several maintenance concerns in one resident's room. The footboard of the bed was splintered and had exposed wooden particle board, the closet door was off its hinges and could not be properly opened or closed, and the overhead light fixture above the bed was cracked with jagged edges. The resident stated that he had reported the closet door issue but could not recall to whom or when. Interviews with staff and administration revealed that there was no record of these maintenance issues in the facility's repair log, and the maintenance director was not notified about the needed repairs. The maintenance director also indicated that his focus had been on painting and preparing rooms for new admissions, with repairs being addressed only as time allowed. Housekeeping staff interviews confirmed that the 200 hallway did not have a regularly assigned housekeeper, and cleaning responsibilities were split among the available staff. Staff turnover in the housekeeping and maintenance departments contributed to the lack of consistent cleaning and timely repairs. Housekeepers and nursing staff reported seeing pests such as flies, gnats, and roaches in the facility, and the pest control program was described as ineffective by both staff and the maintenance director. Facility policy required daily cleaning of resident rooms, but this was not consistently implemented, and documentation of cleaning assignments and maintenance requests was lacking.