Failure to Maintain Cleanliness and Safe Room Conditions for Multiple Residents
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, and homelike environment for multiple residents. For one resident, surveyors observed a bedside commode containing dried urine and bowel movement, and the resident’s bathroom had bowel movement around the toilet riser, toilet base, and on the floor while the resident was out of the room. When the resident returned, she stated she takes herself to the bathroom and had used the bedside commode a few days earlier. Although an RN cleaned the bathroom, a later observation the same day showed the bedside commode still had not been cleaned. Housekeeping staff reported that resident rooms are cleaned daily when a housekeeper is assigned to the hall, but on weekends there may not be a housekeeper on each hall. The RN later verified that the bedside commode still contained dried urine and bowel movement and stated it should have been cleaned by housekeeping or the CNA on the hall. Another resident’s bed linens were found with dried brown spots that appeared to be dried blood, and later observations confirmed smeared bowel movement on the incontinence pad and multiple blood spots and other brown areas on the flat sheet, top sheet, and covers. The resident reported not knowing when his sheets were changed. A CNA stated linens are changed on bath days and as needed but acknowledged the sheets needed to be changed and that she had not noticed their condition during her shift. A third resident, who had been in his room about a week, had a loose night light on the wall and an electric baseboard heater in disarray, with the front panel partially off, coils bent, and the panel caught on the resident’s rollator. A maintenance staff member later verified the loose night light and the disarrayed baseboard heater. The facility’s resident handbook states residents have the right to a safe, clean, comfortable, and homelike environment, including housekeeping and maintenance services and clean bed and bath linens in good condition.
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