Failure to Maintain Clean and Safe Resident Rooms and Shared Bathroom
Penalty
Summary
The deficiency involves the facility’s failure to provide a safe, clean, comfortable, and homelike environment for multiple residents, as required by its own cleaning policies and checklists. The facility’s Cleaning Checklist for Elderly Home and Daily Cleaning Checklist require daily cleaning of resident rooms, including dusting, disinfecting high-touch surfaces, sweeping and mopping floors, and cleaning and sanitizing bathrooms. However, review of the Daily Cleaning Checklists for the hallway where the affected residents lived showed multiple days where required cleaning tasks were left blank, indicating that rooms and bathrooms were not consistently cleaned as specified. One resident reported that her room was not clean, and the surveyor observed dark, dried food spots on the floor, splatters of red/brown dried substances under the bedside table, a long piece of string on the floor, and an alcohol prep pad wrapper near the sink. Another resident stated that the facility was not kept clean, described her room as filthy and dusty, and said staff did not clean the sink counter or move items to clean under them. In that room, the surveyor observed dust on the over-bed light, a granola bar wrapper under the bed, dirty shoe prints on the floor, crushed white powder on the floor near the nightstand, a wall heater pulling away from the wall with paint ripping, and a cluttered, untidy sink counter. A third resident’s room was observed with dirty shoe prints on the floor, brown tube-feeding liquid splatters on the feeding pole, a wall heater that had fallen down the wall causing paint to rip, and paper debris under the head of the bed. The shared bathroom for two of the residents contained feces in the toilet bowl, dried brown drips on the toilet seat, and a graduated cylinder used for urine collection sitting upside down on a discolored disposable cloth with dried urine, along with tubigrip stockings on the same cloth. On a subsequent day, the surveyor found that these rooms and the shared bathroom remained in essentially the same unclean condition, with only a granola bar wrapper removed from one room, confirming that the facility did not ensure daily cleaning as required. Staff interviews further confirmed that rooms were not kept clean and that housekeeping did not move resident belongings to clean surfaces, while maintenance staff were unaware of the deteriorating wall heaters and relied on staff work orders rather than ongoing room audits during occupancy.
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