Failure to Maintain Clean, Safe, and Sanitary Resident Areas and Storage Spaces
Penalty
Summary
Surveyors identified that the facility failed to maintain a clean, safe, and sanitary environment in multiple areas, including three closets and several resident rooms. The Maintenance Director acknowledged that Closets A, B, and C had broken or detached baseboards, cluttered and dirty floors, debris, and a dirty sink, and that employee files and boxes were stored directly on dirty floors. He stated he did not know when certain rooms were last cleaned and confirmed that files should not be on the floor and that he had not obtained authorization for a cabinet to organize documents. Observations of specific resident rooms showed dirty floors, a dirty restroom with towels on the floor, and a shared restroom for two rooms with dirty basins containing pooled dirty water and yellowing towels stored under the sink. Baseboards in these areas were detached, and the Maintenance Director stated that detached baseboards and cracks could be an entry point for roaches. Resident 1’s records showed admission with muscle weakness and hypertension, with assessments indicating she had decision-making capacity, could understand and be understood, and required varying levels of assistance and supervision for ADLs such as eating, hygiene, dressing, transfers, and mobility. During interviews and observations, Resident 1 reported that her room and restroom had not been cleaned for four days, were dirty, and had bugs present, pointing out ants on a drawer. She stated she felt dehumanized by the condition of her room. Further observation revealed stains in her armoire where she placed clothes, a tray of old food (hamburger and moldy fries) in a dresser drawer, and multiple cups left in the room because staff did not want to pick them up. The Infection Prevention Nurse stated that old moldy food in drawers could lead to infections, sickness, and pests, and that housekeeping should check and clean armoires and dressers daily. A CNA acknowledged that nine piled basins with dirty water and yellowing towels under the shared restroom sink should have been removed and cleaned. Facility policies on sanitation and homelike environment required a safe, clean, comfortable environment and outlined responsibilities for cleaning schedules and maintenance support, which were not followed in these instances.
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