Failure to Maintain Clean, Orderly, and Homelike Resident Rooms
Penalty
Summary
The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment as required by its own “Homelike Environment” policy, which states that residents are to be provided with a clean, sanitary, and orderly environment. During surveyor observations and interviews, one resident’s room contained a urine collection device on the bathroom floor, a hole in the drywall above the light, and six cracked linoleum tiles near the entrance. The resident reported being at the facility for therapy and expressed dissatisfaction with housekeeping services. The Housekeeping Supervisor acknowledged that blackish-brown discolored areas on the floor required stripping and scraping, confirmed that baseboards in both affected residents’ rooms were dust-covered, and stated that easily removable substances should have been cleaned by housekeeping, while missing plaster and broken tiles required maintenance. In another resident’s room, surveyors observed a three-inch piece of the bathroom door frame and the threshold between the room and bathroom missing, a dust-covered wall-mounted hand sanitizer dispenser, multiple brown pinpoint spots and streaks on the wall below the dispenser, discolored and dusty baseboards with residue that wiped off easily, and a floor area behind the door with brown to black discoloration in the corner. The exposed plumbing pipes under the bathroom sink were only partially covered with polyfoam and had a dark brown substance on them, and there was a six-inch by one-inch area of missing drywall in the bathroom. This resident, who was cognitively intact and admitted with diabetes and hypertension, stated that housekeepers came daily but did not do a thorough job, that she had limited ability to put belongings away, and that staff were not conscientious about putting her items away, resulting in clothing and other items scattered on all surfaces. Both residents involved were cognitively intact per their MDS BIMS scores, and the Administrator acknowledged awareness of housekeeping and maintenance needs in resident rooms.
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