Failure to Maintain Clean, Safe, and Well-Maintained Environment
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to provide housekeeping and maintenance services necessary to ensure a safe, clean, comfortable, and homelike environment in multiple hallways and resident rooms. During an initial tour, a strong urine odor was noted throughout the 200 and 300 hallways, including common areas, and all rooms toured in the 300 hallway had a pronounced urine odor despite residents being observed as clean, dry, and appropriately dressed. In the 200 hallway, two rooms had floor grates with thick dust buildup, and several rooms had floors with dried, sticky residue. In the 300 hallway, the linen closet door vent had a heavy layer of dust. Several rooms had sticky floors with multiple dried stains, scuffed walls, missing paint, and significant dust and debris, including straws and cup lids, under the beds. Additional environmental issues were observed in common areas and service spaces. The 300 hallway handrail had missing paint beneath a hand sanitizer dispenser, and the underlying paint was wet and easily scraped off. Shower rooms in two hallways had thick brown substances in the corners that could be easily removed by hand. Three of the four hallways toured had missing or unsecured pieces of flooring that could be lifted without effort, and one housekeeping closet was missing a doorknob. The Nursing Home Administrator and DON acknowledged the strong urine odor, sticky residue and dried stains on floors, dust and debris under beds, dust accumulation on vents and grates, and missing or loose flooring. The Assistant Maintenance Director acknowledged chipped or missing flooring and areas no longer properly adhered. These conditions were inconsistent with the facility’s own policy, which requires maintaining a safe, functional, sanitary, and comfortable environment and providing housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior.
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