Failure to Maintain Clean, Odor-Free, and Functional Environment in Resident Rooms and Common Areas
Penalty
Summary
Surveyors identified that the facility failed to maintain a safe, clean, odor-free, and homelike environment for multiple residents and in common areas. One resident reported that the community bathroom was a “s**t show” with gnats and that the community shower was filthy and smelled bad. During observations, surveyors noted a strong urine odor in the A/B unit bathroom and confirmed by the DON that the shower room smelled of urine and needed cleaning. The shower handle in the A/B unit shower room was broken off, and later the Maintenance Director affirmed that shower faucet handles in both the A/B and C/D units were in disrepair and that he had been unaware of these issues. In a resident room, surveyors observed a pullup on the floor next to a thick clump of dirt, with the pullup appearing to have been stepped on, and trash scattered on the dresser and floor. When questioned, a CNA acknowledged the presence of the brief, paper, and dirt, and stated that the resident did not let anybody come into his room, although no one was in the room at the time of observation. In the B unit hallway, floors were notably soiled with dirt and grime while housekeeping staff were mopping, yet the dirt and grime remained. The following day, another housekeeping staff member stated that the appearance was due to dirt and paint and that the floors required stripping, buffing, and waxing, and affirmed that night shift staff assigned to buff the floors were not completing this task. Common areas were also found to be unsanitary and poorly maintained. Over half of the flooring in the A/B unit common area was covered in food debris and black dirt or other stains; when a tissue was wiped across the floor, it turned black, and the Maintenance Director acknowledged the floor was dirty and needed cleaning. Black dirt stains were also observed around the nursing station, and the Housekeeping Director stated that the stains were from residents and that floors were cleaned daily. In the dining room, ceiling tiles were missing over resident tables, with unidentified liquid steadily dripping from the ceiling into a bucket and forming puddles on the floor. Residents were observed ambulating under the leak and through the puddles, and one resident was observed walking through the puddles and having the liquid drip onto their body and lunch tray, reacting with surprise. These conditions occurred despite facility policies requiring a clean, odor-free, comfortable, and orderly environment and proper maintenance of the environment of care.
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