Failure to Maintain Routine Housekeeping and Clean Resident Rooms
Penalty
Summary
The deficiency involves the facility’s failure to provide residents with a safe, clean, comfortable, and homelike environment by not routinely cleaning resident rooms and bathrooms and not consistently emptying trash. On the survey date, no housekeepers were observed on the first floor, and the receptionist was seen entering resident rooms to empty garbage cans due to the absence of housekeeping staff. One resident’s bathroom toilet was filled with toilet paper and stool and had a strong stool odor, and a CNA reported that the toilet had been in that condition for at least three weeks. Another resident’s room and bathroom trash bins had no liners, and the room floor was sticky with splatter marks of an unknown substance that the resident stated had been present for at least a month. Multiple residents reported that their rooms were not cleaned daily and that trash was not emptied regularly, with one resident stating that her bathroom garbage, containing incontinence briefs from a former roommate, had been full since Sunday and was only removed after she asked an aide on Thursday. Additional resident interviews and staff statements confirmed inconsistent housekeeping practices. One resident stated that housekeeping had deteriorated from daily cleaning to sometimes going a week without cleaning. Another resident reported that her garbage can often became very full because it was not emptied regularly and that it had been a long time since her room was cleaned. The administrator acknowledged that he was managing housekeeping due to the lack of a housekeeping manager and stated that resident rooms should be cleaned daily. The receptionist, who had prior housekeeping experience, described that daily room cleaning should include emptying garbage, cleaning high-touch surfaces, sweeping and mopping floors, and cleaning bathrooms, but noted she could only help with spot cleaning before returning to reception duties. A CNA reported that not all rooms were cleaned daily and relayed that the housekeeper described room cleaning as “more of a lottery” as to which rooms were cleaned each day. Resident Council minutes from three consecutive months documented resident concerns about sticky floors after mopping, the dining room not being cleaned after meals and activities, and requests for additional garbage bins. A routine resident room housekeeping policy was requested by surveyors but was not provided.
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