Failure to Maintain Clean and Odor-Free Shower Rooms
Penalty
Summary
The facility failed to maintain clean, odor-free shower rooms, resulting in a deficient environment for residents. One cognitively intact resident with multiple medical conditions, including hemiplegia, major depressive disorder, dysphagia, severe protein-calorie malnutrition, and hypertension, reported that the showers were dirty and contained soiled incontinence briefs, particularly on the floor where the resident previously lived. The resident’s BIMS score of 15 indicated little to no cognitive impairment, supporting the reliability of the report about the condition of the showers. On the day of surveyor observations, multiple shower rooms on several floors had strong, pervasive feces and urine odors. On the 4th floor, both shower rooms had such strong odors that one shower room in the East wing could not be entered by the surveyor. Similar strong odors were present in the 2nd floor shower rooms. On the 5th floor, in addition to strong feces and urine odors, there was a yellowish-brown substance approximately 7 by 10 inches smeared on the entry wall of a shower, appearing like mixed feces and urine. The Environmental Services Director acknowledged the substance and agreed the odors were unpleasantly strong and unacceptable. The Assistant Administrator stated that showers are expected to look and smell clean and free of debris, and the facility’s Public Areas Daily Cleaning Workflow policy states that public areas and high-touch areas are to be regularly cleaned, disinfected, and well-maintained to promote a hygienic environment.
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