F0584

E

Failure to Maintain Clean and Sanitary Resident Bathrooms

Anna, Illinois Survey Completed on 03-03-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain clean, safe, and sanitary resident bathrooms, resulting in unclean commodes and bathroom areas for multiple residents. One resident with heart disease, osteoarthritis, muscle weakness, fatigue, and a moderate cognitive deficit reported that while staff clean earlier in the day, the room does not remain clean later. He and his cognitively intact roommate both stated that the shared bathroom commode was so dirty one evening that it could not be used, and when they requested cleaning, an unidentified staff member told them it was not their job. The commode was not cleaned until the housekeeper addressed it the following morning, and the housekeeper later confirmed there had been feces on the inside of the toilet lid area and that she would not have been comfortable using it in that condition.

Another cognitively intact resident with diabetes, morbid obesity, heart failure, and chronic kidney disease was observed to have feces stuck to her toilet riser, which remained present later the same day. A resident with dementia, peripheral vascular disease, muscle weakness, and fatigue was found to have a commode with a dried red/brown substance around the fixtures and splattered down the wall. CNAs interviewed acknowledged that resident bathrooms are sometimes “horrible,” that housekeeping does not always take the initiative to clean bathrooms without being asked, and that toilets are often dirty around the bowl. The housekeeping supervisor stated he had not received complaints about cleaning and indicated he would reeducate staff if concerns were brought to him, despite the facility’s written quality control policy requiring identification of deficiencies and ongoing monitoring of environmental services quality.