Failure to Maintain Homelike Resident Rooms and Safe Tub Room Environment
Penalty
Summary
Surveyors found that the facility failed to maintain a safe, clean, comfortable, and homelike environment on multiple nursing units and in a tub room. On the 3rd floor, several four-bed rooms (including rooms 302 a-b, 307 a-d, 315 a-d, and 316 a-d) were observed with bare walls and lacking personalized items such as photos, pictures, clocks, or decorations. One four-resident room was also described as cluttered with a dirty floor containing debris and had no chairs available for residents or visitors. On the 6th floor, numerous rooms (602, 603, 604, 605, 606, 607, 608, 609, 610, 611, 614, 616, 617, 619, and 620) were observed to be stark and bare without visible personalization, and many of these rooms did not contain a chair for resident or visitor use. These observations showed that many residents’ rooms were not personalized or furnished in a way that supported a homelike environment. Staff interviews confirmed awareness of these conditions and clarified how room personalization was typically handled. A RN Supervisor acknowledged that many resident rooms were not homelike or personalized and noted that residents with family visitors were more likely to have personalized rooms, while many residents without visitors did not. The RN Supervisor also stated they were unaware that many rooms lacked chairs. A social worker reported that families and friends frequently assisted with decorating rooms and that the Social Work Department did not usually address creating a homelike environment, viewing it instead as a Recreation Department activity. The Administrator stated that holiday decorations were generally limited to common areas and that resident rooms were usually personalized by families, and also stated that every resident room should have a chair. The Director of Recreation reported that staff rounded daily and would assist with personalization upon request but had not received requests to personalize rooms on the 6th floor and had not discussed room personalization with managers or administration. Additionally, in the 4th floor tub room, two windows had insulation coming out with a noticeable draft, and the Director of Building Services stated they were unaware of any concerns with the window insulation and that no work orders had been submitted.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.