Failure to Maintain Clean, Safe, and Homelike Resident Rooms
Penalty
Summary
The deficiency involves the facility’s failure to provide housekeeping and maintenance services necessary to maintain a clean, sanitary, safe, and homelike environment in multiple resident rooms. Surveyors observed that several rooms had floors with thick, dark, dirty stains along the edges and corners, and some floors were described as dirty and sticky. In one room, the bed was positioned close to a torn window blind, and in other rooms, window blinds were torn, damaged, or missing entirely. One room lacked both a window blind and a privacy curtain, and the wall by the window had brown stains on the bottom. Additional observations included multiple dirty resident clothing items on the floor near a full dirty trashcan, holes or gaps in the ceiling, and an air vent with thick black dirt on the vents. The bathroom floor in one room had dark stains along the corners and behind the toilet. In another room, the base of the wall near the entrance was peeled off with brown liquid around it. Walls in multiple rooms were in poor condition with paint visibly peeling off in several areas, and staff interviews confirmed that many resident rooms needed painting and that window blinds were torn and required replacement. Staff interviews revealed that housekeeping was expected to clean resident rooms once daily and as needed, with CNAs responsible for monitoring rooms after housekeeping rounds and picking up dirty laundry. The Maintenance Director stated that she checked each room daily for hazards and acknowledged that the rooms observed did not feel homelike and that the black substance on the vent and the ceiling gap were not acceptable. The Administrator, DON, LVNs, and a CNA all acknowledged that resident rooms should be clean, safe, and homelike, and confirmed that unclean rooms would be unsanitary for residents. The Administrator also acknowledged that there had been instances where cleaning duties were not completed as expected and that environmental issues remained due to the age of the building and competing priorities, despite ongoing efforts.
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