Failure to Maintain Clean and Safe Resident Environment
Penalty
Summary
The facility failed to maintain a safe and clean environment for a resident who was admitted with diagnoses including encephalopathy and chronic obstructive pulmonary disease, and who lacked the capacity to make decisions. During observations in the resident's room, surveyors noted raised round brown spots on the wall next to the wall-mounted television and brown smears on the seat of the recliner chair located next to the resident's bed. These findings were confirmed during interviews with both a CNA and the DON, who acknowledged the presence of the unclean conditions. A review of the facility's housekeeping policies indicated that all rooms should be kept clean and as free as possible of germs and other contaminating agents at all times, and that chairs should be damp wiped regularly, with all surfaces, including walls, thoroughly cleaned and disinfected after resident discharge. The observed conditions in the resident's room were not in accordance with these policies, resulting in the resident living in an unclean environment.