Deficiency in Resident Room Privacy and Cleanliness
Penalty
Summary
Surveyors observed that three out of thirty-two resident rooms on the 1st floor dementia care unit did not have privacy curtains, and eighteen rooms had privacy curtains that were soiled or had brown stains. These observations were made over a three-day period. The lack of privacy curtains and the presence of soiled curtains were confirmed during interviews with the Nursing Home Administrator and the Director of Nursing. The deficiency was identified as a failure to provide adequate privacy and maintain clean equipment in resident rooms, as required by regulations.
Plan Of Correction
Soiled curtains were immediately replaced with clean privacy curtains and privacy curtains were hung in rooms that were missing privacy curtains. Facility-wide audit conducted by NHA/Designee to ensure resident rooms have privacy curtains and are free from soilage. NHA/Designee provided education to housekeeping and maintenance staff on assuring that resident rooms have privacy curtains in place and free from soilage. NHA/Designee will audit random rooms to ensure privacy curtains are present and free from soilage. Audits will be done weekly x4 then monthly x2 or until compliance is achieved. Results will be discussed at monthly QAPI.