F0584

D

Failure to Maintain Cleanliness in Resident Room

Decatur, Illinois Survey Completed on 03-10-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain a clean, safe, and homelike environment for one resident. The resident, admitted on 4/9/2016, has multiple documented diagnoses including personal history of COVID-19, age-related nuclear cataract, homonymous bilateral field defects (right side), cerebral infarction, hyperlipidemia, essential (primary) hypertension, major depressive disorder (single episode), bipolar disorder (current episode manic without psychotic features, moderate), anxiety disorder, vitamin deficiency, intermittent explosive disorder, nicotine dependence, alcohol abuse, and obsessive-compulsive disorder. During an observation on 03/09/26 at 10:45 AM, the resident’s room contained a black bookcase shelving unit with model cars and shelves covered in dust. The windowsill had cobwebs and dust extending from plant containers to the sill, as well as cobwebs surrounding a decorative light in the windowsill.

At the same time, the resident reported that housekeeping comes to clean the room every two or three days but does not clean very well. The resident lifted a half-full trashcan and stated the trash had not been emptied for three days, and pointed to the windowsill, stating it had been dirty for a long time. On 03/10/26 at 9:44 AM, the Housekeeping Supervisor stated that the housekeeping department is understaffed and that resident rooms are not cleaned appropriately. The facility’s “Room Change Cleaning and Disinfection” policy dated 5/21/2021 states that it is the facility’s policy to ensure routine cleaning and disinfection to provide a safe, sanitary environment, including routine cleaning and disinfection of frequently touched or visibly soiled surfaces in resident rooms. The observed conditions and staff statements show that this policy was not being followed for this resident’s room.