Environmental and Sanitation Deficiencies on Two Halls
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, functional, and homelike environment on two of three halls, specifically the 100 and 200 halls. Surveyor observations on multiple dates found numerous environmental issues in resident rooms and common areas. In several rooms, baseboards were not affixed to the walls, there was peeling paint behind beds, and broken blinds were present in the hallway between the two halls. One room had an overbed light that did not illuminate when turned on, and another room had an uncovered electrical outlet between two beds. Nightstands in some rooms had peeling strips on the front, and one bed had a worn sheet with brown stains. Additional observations showed significant cleanliness and sanitation problems. One bathroom contained a dirty bathtub with blackened strips, a dirty shower chair, a disposable brief, wet tissue paper, and a box with gloves, along with broken sheetrock at the base of the shower pipe. Multiple rooms had dirty floors with trash, dust, food crumbs, and dirt, including rooms where trash containers were filled and overflowing. Some rooms had antennas and cords or electric cords lying on the floor. One room had an accumulation of black material in the corner under the window, and another had stained floors, trash on the floor, and soiled privacy curtains with a dark dry substance on them. Surveyors also identified unclean resident care equipment. In one room, a G-tube feeding pole was soiled with copious amounts of dried beige substance similar in color to the enteral feeding in the bag at the bedside. The resident’s air mattress had stains, and the pump at the foot of the bed was soiled with dried dark brown drips and dried beige streaks and drips of unknown substances. The O2 concentrator at the bedside had drips of dried beige substance down the sides and back. Staff interviews confirmed that housekeeping was responsible for room cleaning and that environmental rounds were conducted, but at the time of survey, the rooms and equipment remained in the deficient conditions described. The facility’s own policy stated residents were to be provided a safe, clean, and homelike environment with clean linens and adequate lighting, which was not met in these observed instances.
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