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F0584
E

Failure to Maintain Clean Resident Equipment and Environment

West Branch, Iowa Survey Completed on 12-03-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyors observed multiple instances of unclean resident equipment and environmental surfaces within the facility. A full body mechanical lift in one hallway had a brown smear on its leg that remained uncleaned over two consecutive days. Similarly, a mechanical sit-to-stand lift in another hallway had a heavily soiled foot plate with debris that was not addressed over the same period. Additionally, a high back wheelchair was found in the hallway with a yellow-stained towel on its seat, which was not removed or cleaned throughout the day. In a resident room, brown spots and smears were noted on the bathroom floor near the toilet, and a soiled incontinence pad was left on the bed. Interviews with CNAs confirmed that staff were responsible for cleaning mechanical lifts, changing bed linens, and removing soiled incontinence pads. Both interviewed CNAs stated that soiled incontinence pads should not be left on beds and that cleaning of equipment and surfaces was part of their duties. Review of the facility's cleaning and disinfection policy indicated that environmental surfaces and equipment should be cleaned and disinfected regularly and when visibly soiled, in accordance with CDC and OSHA standards. The observations and staff interviews demonstrated a failure to maintain a clean and safe environment as required by facility policy.

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