Failure to Maintain Clean, Comfortable, and Homelike Resident Rooms
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for multiple residents, as evidenced by environmental deficiencies in several rooms. In one shared room, packaging tape had been wrapped around window curtains to block a strong draft of cold air leaking from the window, after residents had complained to maintenance for over a month without resolution. The bathroom in that room had stained and dirty flooring, a black substance around the faucet fixtures, and a bathroom door with a large piece of wood missing and rough, uneven edges with potential for splintering. In the same room, an air pressure mattress alarm continued to sound whether the resident was in or out of bed, and the resident had requested either repair of the alarm or a new mattress. Another resident’s room had two deep wall gashes extending from mid-wall to the floor with wall debris on the floor behind the bed; the resident reported the wall had been in that condition for a couple of months and that staff were aware. Additional observations showed similar environmental issues in other rooms. One resident’s bathroom floor was stained and dirty, with blackened areas, and the mirror and sink were dirty with built-up dirt around the faucets; a heavy draft of cold air leaked from the window, which had a pillow placed over it to reduce the draft, and the resident reported having notified maintenance and administration about the problem one month earlier without any action taken. Another resident was observed in bed covered with three blankets and reported feeling cold because an AC unit remained installed in the window; the resident stated he had been asking staff for two months to have the unit removed as the weather turned cold. A therapy note documented that this same resident had previously reported feeling cold due to the AC unit while lying in bed under multiple blankets. These conditions occurred despite facility policies stating that residents were to be provided a safe, clean, comfortable, sanitary, and homelike environment with comfortable and safe temperatures.
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