Failure to Maintain Clean, Odor-Free, and Homelike Environment
Penalty
Summary
The facility failed to maintain a homelike, clean, and odor-free environment for all residents, staff, and visitors. On multiple observations over several days, surveyors noted a strong odor of urine upon entering the facility, in the hallways leading to the A and B units, and throughout the nursing station areas. Strong urine odors were repeatedly documented on both units, including the back unit rooms 1–20 and the unit with rooms 21–31, as well as during environmental inspections and resident pool observations. Individual resident rooms were also affected, with some rooms having a strong urine odor when toured by the surveyor. In addition to pervasive odors, surveyors observed visibly soiled environmental surfaces. Privacy curtains in at least two rooms were heavily soiled with brown smudge marks in multiple areas. Bathrooms in at least two rooms had dried urine buildup around the toilet seat, seat fasteners, and base, and dried feces smeared on the toilet tank, rim of the toilet seat, and underneath the toilet seat on the tank bowl, with strong urine odors present. A bathroom door in another room had a large area of chipped paint greater than 12 inches in diameter. A housekeeper reported that resident room and bathroom floors are not mopped daily and attributed the strong urine smell to infrequent mopping, soiled linens, and soiled briefs not being promptly removed to the off-site laundry and garbage building, particularly on weekends when the facility is short staffed.
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