Failure to Maintain Clean, Homelike Environment in Resident Rooms and Hallways
Penalty
Summary
The deficiency involves the facility’s failure to provide housekeeping services necessary to maintain a clean, safe, and homelike environment in multiple resident rooms and hallways. A complaint submitted through the online complaint portal stated that the facility did not appear to have enough staff to keep the building clean, that overall cleanliness was poor, and that staff did not clean the floor after a resident’s meal tray spilled. During an observation of a shared resident room on March 3, 2026, trash and crumbs were seen on the floor, and multiple dark streaks were visible in high‑traffic areas of the flooring. One resident in the room stated that it took a lot of effort to get the rooms cleaned, and the other resident reported that the floor and room had been dirty for quite a while and that cleaning staff did not clean the room on a daily basis. An observational tour of one hallway with the Business Office Manager revealed additional rooms that did not meet the facility’s cleanliness expectations. The manager identified three rooms with visible dirt and streaks on the floor, two rooms with multiple pieces of trash on the floor, and one room with visible food crumbs on the floor along with multiple dark streaks and scuff marks on the flooring surface. In another room observed with a CNA, small pieces of paper and loose debris were noted on the floor, along with discarded items near the trash can. The CNA stated that housekeeping typically cleans resident rooms daily but had not yet arrived on the unit that morning, and also pointed out that a drink cart in another hallway had multiple areas of visible spillage on the cooler, drink dispensers, and cart surfaces. During a medication pass, an RN identified a resident room that failed to meet facility standards due to a buildup of streaked dirt, dried spills on the floor, and trash on the floor, and stated that the room was neither homelike nor appropriate for decreasing the risk of spreading infection. The RN stated that trash, messes, and spills should be cleaned up immediately and not allowed to accumulate. The Housekeeping Supervisor described that maintaining a clean and homelike environment should include sweeping and mopping floors, regular trash removal, and cleaning bathroom fixtures, and that housekeeping staff are assigned to specific halls and are expected to clean resident rooms, hallways, and common areas daily. The supervisor also acknowledged that the conditions reported to her by the DON, including feces on a toilet and tube‑feeding residue on a floor mat in specific rooms, did not meet the facility’s expectations for environmental cleanliness. In a follow‑up interview, a resident reiterated that he was not joking about the need for housekeeping improvement and confirmed that his room was not cleaned on a daily basis. The facility’s Infection Control Program policy states that the goal is to identify and correct problems related to infection control practices, and the Homelike Environment policy states that it is the facility’s policy to provide a homelike environment.
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