Failure to Maintain Clean and Sanitary Resident Rooms and Bathrooms
Penalty
Summary
Surveyors identified a deficiency in maintaining a safe, clean, comfortable, and homelike environment when multiple resident rooms and adjacent hallways were found to be unsanitary. During observation with the DON, the hallway floors by Rooms A, B, and E were noted to be dirty with food crumbs and pieces of trash. The shared bathroom for Rooms A and B had dirty towels surrounding the toilet floor, and Room C had three towels and trash on the floor, creating clutter. In Room D, a bedpan with smeared feces was observed placed on top of the vanity. In the shared bathroom for Rooms F and G, the toilet tank flush handle had smeared feces. The DON acknowledged that dirty floors with food crumbs and trash could attract pests and be a source of germs leading to infections, that dirty towels on the bathroom floor could cause residents to feel uncomfortable, that towels and trash on the floor could cause residents or others to trip and fall, and that feces on the toilet handle could lead to cross-contamination and infections. Review of the facility’s “Cleaning and Disinfection of Environmental Surfaces” policy dated 1/2018 showed that environmental and housekeeping surfaces, including floors, furniture, and bed rails, were to be cleaned regularly when visibly soiled and disinfected with an EPA-registered hospital disinfectant according to label directions. These observations demonstrated that the facility did not follow its own cleaning and disinfection policy for environmental surfaces in Rooms A, B, C, D, E, F, and G and their shared bathrooms and hallways, resulting in an environment that was not clean, sanitary, or home-like for the affected residents.
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