Failure to Maintain Clean and Organized Clothing for a Resident
Penalty
Summary
The facility failed to honor a resident's rights to dignity and a clean, homelike environment by not managing the resident's clothing in a clean and organized manner. The resident had diagnoses including schizoaffective disorder, bipolar type, muscle wasting and atrophy at multiple sites, and rheumatoid arthritis, and an MDS BIMS score of 9/15 indicating moderate cognitive impairment. During an observation, the resident was lying in bed, was teary eyed, and difficult to understand. When the first-floor supervisor LPN opened the resident's closet, the resident's clothes were found not folded, with whitish pants showing a large brownish stain in the crotch area and other pants and shirts observed with stains. The LPN stated it was difficult to know which clothes were clean or dirty. The LPN explained that CNAs are responsible for maintaining resident clothing after it is returned from laundry and are supposed to store clean clothes separately from dirty clothes, and that it is not acceptable to mix clean and dirty clothes because staff or residents would not know which items are clean. The LPN also stated that if the resident wears dirty clothes, he can smell and that the resident needs supervision choosing which clothes to wear, although he dresses himself. A CNA similarly stated that it is not acceptable to mix the resident's clean and dirty clothes because everything will smell and the resident will not be comfortable wearing smelly clothes, which can make him feel horrible. The facility's Resident Rights policy dated 11/18 documents that the facility must be safe, clean, comfortable, and homelike, and that the facility must treat residents with dignity and respect and care for them in a manner that promotes their quality of life.
