Failure to Maintain Clean, Homelike Environment and Functional Room Conditions
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for multiple residents by not providing adequate housekeeping and maintenance services. In one resident’s room, surveyors observed dried food, paper wrappings, disposable cups, and a dry black substance across multiple areas of the floor, along with window curtains that were too short to cover about one-third of the window. Staff, including an RN, the Maintenance Director, and the Administrator, acknowledged that the floor contained garbage that should have been picked up, that the resident’s bookshelf was broken and needed replacement, and that curtains should fully cover windows for privacy and comfort. Additional observations included trash along the walls in another resident’s bedroom and dirty bathroom floors in a different resident’s room. The facility also failed to maintain functional furniture and intact walls and fixtures in several resident rooms. One resident’s closet drawer front was detached and lying on the floor with bare screws or nails protruding, and the baseboard was pulled away from the wall with holes, held in place with masking tape. A rectangular cut-out in the wall providing access to sink pipes was not secured, and the resident reported seeing a large mouse come through the hole and stated that only the hot water worked at the sink and sprayed everywhere, which she said she had reported to staff three weeks earlier with no apparent repair documented. Another resident’s room had baseboards pulled away from the wall, disintegrating drywall, and a large hole in the wall behind the bed, with the entire call light box hanging from the wall. In a shared room, the toilet lid was missing and the baseboard was peeling away from the wall. Surveyors further observed environmental deficiencies in common-use areas. Both shower rooms on the second floor had dirty floors, brown splatter on the shower toilet wall, a tub filled with water and debris, and missing drywall along the base of the floor behind the toilet. A CNA confirmed these conditions and stated that housekeeping and floor techs are responsible for cleaning these areas, while a housekeeper stated that floor techs clean shower rooms, bathrooms, hallways, dining rooms, elevators, and remove garbage, and that cleaning and sanitizing are for residents’ health. Review of the facility’s work order binder did not show any of the identified room issues, despite the facility’s policies and job descriptions requiring a safe, clean, homelike environment, regular cleaning and maintenance, and staff responsibility to keep resident areas tidy and to detect and report hazardous conditions.
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