Failure to Maintain Sanitary and Comfortable Environment on 200 and 400 Units
Penalty
Summary
Facility staff failed to maintain a sanitary, clean, and comfortable environment on the 200-unit. During a tour of the unit, surveyors observed the lower numeral corridor littered with debris, with many dark spots on the floor that appeared to be uncleaned spills, and cluttered with various medical equipment. In one room, the floor was described as simply dirty, the trash can had no liner, and a used glove was on the floor. The A bed resident’s fall mats at the bedside had holes and a dark substance on them, and the floor space under the head of the bed was filled with broken, useless items, a wheelchair leg rest, and a large amount of dust and dirt; the room overall was very cluttered. The resident in the B bed reported that the A bed resident’s television remote control changed the television channels on his side of the room. In another room, the room was dark and smelly, the floor was covered with dirt and debris, and the bathroom toilet was dirty and smelly; the corridor outside this room was extremely odorous, and the odor did not dissipate over time. An EVS staff member stated she worked hard to keep the unit clean, but reported that she does not move items on the floor when mopping, instead mopping around them, and that some fall mats could not be fully cleaned despite scrubbing; she stated she documented these issues in daily notes and gave them to her supervisor. On the 400 floor, staff also failed to provide a consistently sanitary and comfortable environment. During an initial tour, a strong urine odor was detected in the hallways, and the floors had visible dirt and debris, while a housekeeper was observed standing near her cart. On a subsequent tour, the floors appeared clean and no odor was present, and several housekeeping staff were observed cleaning rooms and mopping floors. However, on a later tour, a strong urine odor was again present on the 400 floor, and only a few housekeepers were observed on the unit. In a final interview with the Administrator, DON, Regional President, and Regional Nurse Consultant, facility leadership acknowledged agreement that there were environmental concerns.
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