Failure to Maintain Clean Resident Rooms and Tube Feeding Equipment
Penalty
Summary
Surveyors identified that resident rooms and equipment were not adequately cleaned or maintained. In one room, a wall behind a resident’s bed had gouges in the drywall with exposed underlayment over an area approximately five feet by five feet. In the same room, another wall to the right of the bed was observed with liquid-appearing splatter debris, and a maroon floor mat next to the bed had the same debris. The Director of Environmental Services confirmed the presence of the debris and stated the resident had a behavior of spitting but could not state when the wall or floor mat were last cleaned. In another room, a wall to the left of a resident’s bed had gouges in the drywall and white unpainted drywall patches over an area approximately five feet by three feet, which the Maintenance Director verified. In a separate room, a tube feeding pump mounted on a pole next to a resident’s bed was observed with a puddle of fresh tube feeding on the legs of the pole, along with older dried tube feeding covering the legs. A small puddle of tube feeding, approximately two inches in diameter, was also present on the floor under the pole. The Director of Risk Management confirmed the presence of tube feeding on the pole and the floor. These observations showed that the facility did not ensure resident rooms were clean and that equipment was adequately maintained for multiple residents.
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