Failure to Provide Daily Room Cleaning and Trash Removal
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to provide a safe, clean, comfortable, and homelike environment by not ensuring that resident rooms were cleaned and trash removed on a daily basis. The facility’s own housekeeper job description requires adherence to cleaning schedules, including cleaning and sanitizing resident rooms and discarding trash into proper containers. Resident council minutes documented grievances about soiled items in rooms and reports that rooms were not cleaned when housekeepers were off work. Review of the housekeeping/laundry schedule showed limited staffing, including days with only one staff member on days and no staff scheduled for evening shifts, and other days with no housekeeper assigned to one side of the building. Multiple cognitively intact residents reported that their rooms were not cleaned daily and that trash was not removed unless they specifically requested it. One resident stated his room was not cleaned on specific days and that when a particular housekeeper was off, his room did not get cleaned, despite the housekeeping manager being expected to cover. Another resident reported her room had not been cleaned for several days, that she had to mash down garbage in an overfull wastebasket, and that she used a t‑shirt to mop water off the bathroom floor; surveyors observed a strong urine odor, full trash cans, and soiled disposable briefs in her room and bathroom. A roommate reported that no one had cleaned the shared room, where surveyors observed a large dried brown sticky stain on the floor and unswept, unmopped floors. A third resident stated she was “lucky” if housekeeping came to sweep and mop and that her room and trash were not addressed daily. Staff interviews confirmed that when the primary housekeeper was off, daily cleaning did not occur in all rooms, that rooms on one hall were not cleaned on a specific date, and that there was no housekeeper for one side of the building on another date. The administrator confirmed that resident rooms and floors should be cleaned daily and trash removed daily or when full.
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