Inadequate Linen Supply and Unclean Linen Areas Across All Nursing Units
Penalty
Summary
Surveyors identified a failure to maintain a safe, clean, comfortable, and homelike environment related to linen availability and cleanliness across all three nursing units and for one sampled resident. On the second floor, a resident reported remaining in the same hospital gown as the previous day due to a lack of clean gowns on the unit. At the same time, a nurse aide confirmed that there were no hospital gowns available on the hallway linen carts. Observation of the second floor linen carts showed no clean resident gowns, and the clean linen room on that unit contained only two clean gowns and no sheets, with the floor noted to be dirty and littered with debris, plastic cups, and dirt. Additional observations on the third and first floor units showed similar deficiencies in linen supply and environmental cleanliness. On the third floor, the linen cart had few gowns, sheets, and towels, and the clean linen room contained few clean gowns and sheets, with debris on the floor and two opened bags of clean linens placed directly on the floor. On the first floor, the clean linen room had no sheets, few clean gowns, and no wash cloths, and three full, odorous bins of soiled linens were located in the hallway outside the clean utility room. Follow-up observation later the same day confirmed that the linen carts and clean linen rooms on these units had not been replenished and remained sparse or empty.
