Inadequate Housekeeping Staffing Leads to Unsanitary Resident Areas
Penalty
Summary
Surveyors determined that the facility failed to maintain a safe, clean, comfortable, and homelike environment due to inadequate housekeeping staffing and unclean conditions in multiple areas. Facility policy titled "Homelike Environment" dated 5/27/25 stated that residents are to be provided with a safe, clean, and comfortable homelike environment, including a clean, sanitary, and orderly environment. Review of the grievance log showed a grievance dated 11/13/25 reporting that a resident's room was not being cleaned appropriately. Review of housekeeping schedules from 12/28/25 through 1/24/26 revealed several days with only one housekeeper scheduled to cover the entire 100-bed facility, including resident rooms, bathrooms, common areas, hallways, and offices. On observation at approximately 1:30 p.m. on 1/20/26, the entryway was covered in a thick layer of a dry white substance that appeared to be tracked throughout the first floor. During an interview at approximately 2:15 p.m. the same day, a resident reported being very dissatisfied with housekeeping and stated there was dry salad dressing and coffee on the floor next to the roommate's bed that had been there "for a while." Observation of that resident's room revealed a dry coffee stain on the floor, a dry dark stain on the floor that appeared to be fecal matter, a privacy curtain soiled with a brown-colored substance, and dirt, dust, and debris under two wheelchairs stored in the corner. Additional observations on the second floor showed hallways with a thick layer of dirt and a completely dry area where something had been spilled, as well as debris in several resident rooms. Only one housekeeper was observed cleaning on day shift and one on evening shift. During a tour and interview at approximately 3:35 p.m. on 1/20/26, the Nursing Home Administrator confirmed the dirty conditions in the first-floor entry, hallways, and resident rooms on the second floor.
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