Failure to Maintain Clean Linens and Sanitary, Odor-Free Resident Rooms and Bathrooms
Penalty
Summary
The deficiency involves the facility’s failure to maintain a sanitary and safe environment in resident rooms and shared bathrooms. In one shared bathroom between two rooms, surveyors observed a large orange/brown stain on the fitted sheet of one bed and a urine-soiled brief left in the bathroom garbage can, along with a strong urine odor. One resident using that bathroom stated she could not remember when her sheets were last changed and reported that when she changed her own briefs, she threw the soiled briefs into the bathroom garbage can. Another resident who shared the same bathroom reported that she also placed her own soiled briefs in the garbage can and had noticed soiled briefs in the garbage that she had not put there. A CNA confirmed that soiled briefs should not have been left in the bathroom garbage can and that staff should have checked and removed garbage bags and soiled briefs. In another room, surveyors noted a strong urine odor and found a resident lying on a bed without any sheets, covered only with a small fleece blanket. The resident was unsure of the source of the urine odor and could not remember when she last had sheets on her mattress. On the following day, the same bed still had no linens, and the fleece blanket thrown on top of the bed was saturated with urine, with the mattress also wet. The resident reported that staff had not put linens on her mattress on either day and could not recall when the blanket was last cleaned. When requested, the facility was unable to provide a policy related to these issues.
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