Environmental Safety, Cleanliness, and Odor Control Deficiencies Across Multiple Units
Penalty
Summary
Surveyors identified multiple environmental deficiencies affecting the 100, 300, and 400 units, including damaged furnishings, flooring, and persistent odors. On the 100 unit, the water dispenser was placed on a countertop with visible water damage, darkened and discolored laminate consistent with prolonged moisture exposure, and broken laminate along the edges near the sink and dispenser. The cabinet door beneath had a loose, partially detached handle, and multiple broken laminate wooden floor slats were observed near the nursing station. In the 400 unit, one resident’s room contained leafy food and multiple plastic condiment cups on the floor under the bedside table next to the resident’s bed, and the other occupied bed in the same room had a broken footboard. The resident later reported she had dropped her salad during dinner the previous evening and that no staff cleaned it up despite her request for assistance, and she expressed concern that leaving food on the floor could attract cockroaches. On the 300 unit, surveyors repeatedly noted strong urine odors. A strong urine odor was observed around specific rooms and again upon entry to the unit and in the common area where residents were seated watching television on two separate days. Additionally, in the 300-unit hallway outside several rooms near the linen closet, the wall-mounted handrail’s lower protective cover was cracked and partially broken, leaving a jagged section approximately ten inches long. During interviews, the Maintenance Director acknowledged expectations that the 100-unit water dispenser area remain in good repair, that flooring be maintained to avoid tripping hazards, that the 300-unit handrail required repair, and that the bed footboard should have been properly bolted. The Administrator stated the 300 unit should not have heavy urine odors and that CNAs and housekeeping staff are expected to clean resident areas to prevent such odors. The District Manager of Housekeeping stated housekeeping cleans daily, uses rapid disinfectants, and that repeated urine odors are to be reported through the Quality Control Inspection process, while the DON stated CNAs or nursing staff are expected to clean dropped food when seen and to change residents and bedding when residents urinate in bed.
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