Failure to Maintain Clean and Sanitary Resident Rooms
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment by not ensuring timely and complete incontinence and housekeeping care for two residents. During an early-morning observation of one resident’s room, surveyors noted a strong bowel movement odor upon entry, and a CNA confirmed that the two CNAs assigned to that hall had just changed the resident. Further observation with the CNA revealed a large amount of smeared bowel movement throughout the resident’s bed linens, indicating the linens had not been changed when the resident’s brief was changed during toileting care, as the CNA stated should have occurred. In a separate room, surveyors observed a strong urine and bowel movement odor, uncontained soiled clothing near the door, and pants on the floor with visible bowel movement. The resident in that room reported that staff had not been by to check on her and that she was up and going to get coffee. An LPN later confirmed that residents who require assistance with ADLs should be assisted in a timely manner and that both residents’ rooms should have been free of soiled linens and bowel movement on clothing.
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