Failure to Maintain Clean and Sanitary Resident Room
Penalty
Summary
The facility failed to maintain a clean and sanitary, homelike environment for one resident when staff did not regularly clean the resident’s room and floor. On 12/11/25 at 7:55 am, observation of the resident’s room revealed a large area of dried liquid on the floor with dried footprints indicating someone had walked through it, along with a napkin stuck in the dried liquid and additional tissues and unidentified debris scattered on the floor, giving the appearance that the floor had not been cleaned for several days. At 7:58 am, the resident reported not having seen housekeeping in her room for several days and stated she wanted her floor cleaned. A follow-up observation at 8:15 am the same day showed the room remained dirty, with the same dried liquid area and trash and debris still present on the floor. On 12/12/25 at 10:05 am, the Housekeeping District Manager (HDM) stated that resident rooms should be cleaned and mopped daily and that the Housekeeping Manager is responsible for checking that rooms are cleaned properly and thoroughly. The HDM confirmed that the resident’s room was dirty and that the floor should have been cleaned sooner. Later that day at 1:30 pm, the HDM reported that the housekeeper assigned to that room acknowledged the room had not been cleaned on 12/11/25, despite it being scheduled for cleaning, confirming the lapse in maintaining the resident’s environment.
