Failure to Maintain Clean and Homelike Resident Room and Shower Areas
Penalty
Summary
The facility failed to honor residents' right to a safe, clean, comfortable, and homelike environment as required by its own policies for daily room and shower cleaning. The Daily Room Cleaning policy required that resident bathroom toilets be cleaned daily, and the Housekeeping Services policy required that resident shower/bath areas be cleaned twice daily. Despite these policies, surveyors observed one resident room with a toilet that had a thick black ring of debris above the bowl water line and under the rim, and a room sink that was heavily stained with brown residue. Additional observations in common shower areas showed similar failures to maintain cleanliness. In one hall shower room, surveyors observed blackened thick debris on floors and tiles, a toilet with a black/brown debris line around the water line and rusty brown discoloration in the bowl, black debris around the wall and floor line, and a rusty brown area between tiles and the wall under the sink. In another hall shower room, there was blackened thick debris on floors and tiles, a toilet with black/brown debris at the water line and under the rim, a discolored toilet seat, a rusty brown and black ring around the entire toilet base, missing caulking at the floor and wall line, and black debris at the floor and wall line extending up two tiles on the wall. The Maintenance Director acknowledged that the showers did not appear to have been cleaned as they should have been, and the Housekeeping Manager stated that CNAs were expected to wipe down showers between resident use and housekeeping was to check shower rooms at the end of the day, but confirmed the shower rooms had not been cleaned as required. The report states this deficient practice created the potential for diminished quality of life and resident safety including infection and cross-contamination.
