Failure to Maintain Clean and Well-Maintained Resident Bathroom Environment
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to maintain a sanitary, orderly, and comfortable interior environment for a resident. The resident was an older male admitted for LTC with diagnoses including mid-back spine fractures at T7–T8 and T11–T12, bladder cancer, and muscle weakness, and he required assistance with hygiene and toileting per his MDS and care plan. His care plan documented an ADL self-care performance deficit, a need for staff assistance with bathing, and that discharge from the facility was not feasible due to his inability to care for himself independently. During an interview and observation, the resident was found in his room and reported feeling demoralized by his poorly maintained bathroom. Observation of the bathroom revealed a toilet, sink, and shower, with the bathroom walls noted to be stained in 5 to 10 areas, damaged, and with holes. In a subsequent interview, the Administrator stated that he and the Maintenance Director had discussed repairs to the resident’s room but that the repairs had not yet begun. The facility’s Residents Rights policy stated that residents have the right to a dignified existence, respect and dignity, and to reside and receive services with reasonable accommodation of their needs and preferences, which contrasted with the observed condition of the resident’s bathroom.
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