Failure to Maintain Clean and Stocked Resident Bathrooms
Penalty
Summary
The facility failed to ensure that resident rooms, particularly bathrooms, were routinely cleaned and maintained, affecting three residents reviewed for room cleanliness. Observations revealed persistent hard water stains, discoloration, and visible soiling in resident bathrooms, including red and grey rings in toilet bowls and brown substances on toilet exteriors and interiors. Residents and staff reported ongoing dissatisfaction with the cleanliness of bathrooms, with some residents stating their toilets were always dirty and staff confirming that complaints had been made to housekeeping and nursing staff. Interviews with various staff members, including CNAs, LPNs, the Housekeeping Manager, and the Infection Preventionist, confirmed that concerns about bathroom cleanliness and infection control had been reported by both staff and residents over a period of time. Despite these reports, the Housekeeping Manager stated she had not received any concerns regarding room cleanliness, indicating a lack of communication or follow-through. Additionally, observations found that some resident bathrooms were not adequately stocked with supplies, such as toilet paper, at the time of inspection. Review of Resident Council meeting minutes further documented ongoing resident concerns about housekeeping, specifically regarding the cleaning of floors and bathrooms. Housekeeping checklists indicated that daily duties included cleaning and restocking bathrooms, but observations and interviews demonstrated that these tasks were not consistently completed. The deficiency was identified during a complaint investigation and affected residents with varying medical conditions, including hypertension, dementia, chronic kidney disease, and mental health disorders, all of whom had intact cognition and relied on staff for assistance with daily living activities.