Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
The facility failed to maintain a clean and homelike environment for four residents, as evidenced by observations of unclean conditions in their rooms and bathrooms. Multiple residents, all of whom were cognitively intact and had various medical diagnoses such as anxiety, irritable bowel syndrome, morbid obesity, fractures, diabetes, hypertension, Parkinson's Disease, atrial fibrillation, and dementia, were included in the review. During interviews, some residents expressed concerns about cleanliness, while others denied issues; however, direct observations revealed brown or black substances on the floors and wall trim in the bathrooms and rooms of all four residents. In one instance, a resident reported stains on a bathroom pull cord, but none were observed during the survey. Further inspection with the Housekeeping Director confirmed the presence of dried blood on a handrail and persistent soiling on floors and wall trim, which the director acknowledged should have been cleaned according to facility procedures. The facility's cleaning protocol requires daily cleaning of floors, trim, and high-touch surfaces, as well as cleaning of visibly soiled areas. Despite these procedures, the observed conditions indicated a failure to adhere to established cleaning standards, resulting in an environment that did not meet the residents' rights to a safe, clean, and comfortable living space.