Unclean and Non-Homelike Shower Rooms
Penalty
Summary
The facility failed to ensure a safe, clean, comfortable, and homelike environment when three of five shower rooms were found unclean and unsanitary. A cognitively intact resident with Type 2 diabetes mellitus reported that the shower rooms were dirty and unclean, and stated feeling uncomfortable at the facility and wanting to leave. Surveyor observations, corroborated by staff, identified multiple issues in the South Station shower room, including mold on the shower curtain, a used tan bandage on the shower floor, a ball of hair on the shower drain, a used bandage on the shelf adjacent to the shower, and an overfilled sharps container with razors sticking out. Cracked, exposed shelves in the shower room were also noted as not homelike. Further observations and staff interviews revealed that the northwest shower room was out of order, mold was present in the northeast shower room, and cracked tiles and peeled paint were present in the north station shower room. Licensed nurses and the Infection Prevention Nurse confirmed that the shower rooms in use were unclean and did not represent a homelike environment for residents. The DON stated that the facility’s expectation was for staff to clean shower rooms after each use and acknowledged that the current condition of the shower rooms did not meet this expectation. Review of the facility’s “Home-like Environment” policy indicated residents are to be provided with a safe, clean, comfortable, and homelike environment, including a clean, sanitary, and orderly setting, which was not met in these shower areas.
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