Failure to Maintain Clean and Homelike Resident Environment Due to Unaddressed Water Stain
Penalty
Summary
A deficiency was identified when a resident's bathroom wall was observed to have a rusty brown dry water streak, which had appeared approximately two weeks prior following heavy rainfall. The resident, who had diagnoses including COPD, emphysema, and a solitary pulmonary nodule, required assistance with certain activities of daily living but was able to communicate concerns. The resident reported the issue to a laundry aide, who acknowledged being informed of a water leak and observed the resulting brown and yellow water stain but did not submit a work order for maintenance. Further interviews revealed that the maintenance staff had no record of any work orders for the resident, and the Director of Nursing was unaware of the leak until the time of observation. Facility policies reviewed indicated a requirement for maintaining a clean, sanitary, and homelike environment, but these standards were not met in this instance, as the environmental concern in the resident's bathroom was not addressed in a timely manner.