Ongoing Linen Shortages Compromise Clean and Comfortable Resident Environment
Penalty
Summary
The facility failed to ensure residents had a safe, clean, comfortable, and homelike environment due to ongoing shortages of clean linens and washcloths. Surveyors observed that a linen closet on one hall contained no towels, washcloths, fitted sheets, blankets, or bed pads, with only one item present, and the owner stated closets would be filled once laundry staff made rounds. Multiple CNAs reported that washcloths, towels, and bed sheets were frequently unavailable in the mornings and had been in short supply for several days, leading them to use wipes or pillowcases to wash residents’ faces or provide perineal care after bowel movements, and that these shortages delayed completion of resident care. A resident reported that linen shortages occurred daily, that his bed was often made later in the day or after lunch, and that at night there were no bed pads or linens available. The Housekeeping Supervisor reported that linen closets were refilled three times daily, there was no overnight laundry shift, laundry staff left in the late afternoon, and the department had been short staffed for about two months. The DON acknowledged staff reports of linen shortages and stated that linens were sometimes hidden in resident rooms, and that wipes were implemented due to the shortages. The Administrator confirmed ongoing washcloth and towel shortages for at least six weeks, reported having to come in early in the morning to wash linens because none were available for residents, and believed staff were discarding heavily soiled linens instead of sending them to laundry. Daily linen issue sheets for several consecutive days showed all linen closets were noted to be low on the morning shift at the time of inventory, demonstrating a persistent lack of adequate clean linens for resident care.
