Failure to Maintain Clean and Homelike Shared Bathroom Environment
Penalty
Summary
The deficiency involves the facility’s failure to maintain a clean, sanitary, and homelike bathroom environment for two residents who shared a bathroom. The facility’s environmental services policy, dated 2020, required that the community be maintained in a clean and hygienic condition and that surfaces such as toilet seats be cleaned according to a schedule established by the environmental services supervisor, with community trash containers lined. Despite this policy, surveyors observed bowel movement (BM) splattered throughout the inside of the toilet bowl and smeared on the back and top of the toilet seat, as well as a trash can without a liner containing several soiled wipes next to the toilet. One of the residents reported that housekeeping had not cleaned the bathroom yet that day. Subsequent observations on multiple occasions over two days showed that BM remained in the toilet bowl and on the toilet seat, even after staff had reportedly completed toileting care for one of the residents in that same bathroom. The resident continued to report that housekeeping had not been in to clean the room or bathroom on either day. A housekeeping staff member stated that housekeeping staff are present seven days a week, and an administrative staff member stated she expects staff to notify housekeeping to address bathroom cleanliness or to clean areas with sanitizing wipes after care is provided. Nonetheless, the bathroom remained soiled over repeated observations, demonstrating a failure to ensure a clean and homelike environment as required by facility policy.
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