Failure to Maintain Clean, Repaired Environment and Functional Call System
Penalty
Summary
Surveyors identified failures to maintain the building in good repair and cleanliness and to ensure a functional call system for multiple residents. For one resident, the bathroom sink had no running water, with a sign posted instructing not to turn on the water, and the sink bowl had a black, slimy ring. The wallpaper inside the door was ripped from the ceiling to about three feet from the floor in a section approximately two feet wide, with another large piece missing near the heating vent. The Assistant Maintenance Director confirmed that the sink was not working and the wallpaper was peeled off the walls. Another resident was observed sleeping in bed with the call light activated while a CNA in the hallway stated that this resident’s call light was always on due to a short or similar issue and suggested the resident should have a handheld bell, which could not be located. When asked how the resident would request help if they fell, the CNA stated she did not know. The same resident’s bathroom had a strong urine odor and a large puddle of yellowish liquid in front of the toilet with footprints leading from the toilet to the bed; later in the day the floor remained wet with paper towels covering the puddle and the odor unchanged. A third resident’s toilet had dry bowel movement on the seat, around the top rim, and down the front of the bowl, with a strong urine smell extending into the hallway and visible yellow and brown splatter on the enabler bars. A housekeeper reported she had finished cleaning that room and described her duties as emptying garbage, cleaning floors, and dropping off paper products, while the toilet and bathroom remained unchanged. A RN stated that housekeeping was supposed to enter the room several times a day to empty garbage and that rooms, including bathrooms, were to be fully cleaned daily and as needed, and verified that housekeeping should have cleaned the floor in the other resident’s room.
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