Failure to Maintain Clean, Odor-Free, and Homelike Environment
Penalty
Summary
Surveyors identified multiple failures by the facility to maintain a safe, clean, and homelike environment for residents. Observations revealed persistent strong urine odors in various areas of Unit 2, including hallways, a specific resident room, and the dining room, with the smell extending into surrounding areas. Floors in Unit 2 hallways and dining room were visibly soiled or stained, and garbage was found on the floors in the shower room, dining room, and hallways. The Unit 1 dining room cabinet drawer contained garbage, and clutter was observed in resident rooms, including an unused oxygen concentrator and boxes of supplies stored on the floor. The Unit 2 shower room had used linens left on shower chairs, bagged linens outside of receptacles, and other items left out of place. Interviews with staff indicated a lack of routine deep cleaning schedules and inconsistent supervision, especially following the recent absence of a housekeeping supervisor. Housekeeping aides reported cleaning shared spaces and resident rooms daily, but there was no established schedule for deep cleaning or for providing additional attention to rooms with persistent odors. The facility's provided cleaning policy addressed only terminal cleaning, not routine cleaning. The Administrator confirmed that rooms and floors should be cleaned daily and that clutter and unused equipment should not remain in resident rooms, but acknowledged that deep cleaning had not occurred recently and that oversight of housekeeping rounds was lacking.