F0584

D

Failure to Maintain Clean and Sanitary Second-Floor Bathrooms

Saint Louis, Missouri Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

The facility failed to maintain clean and sanitary second-floor bathrooms in accordance with its housekeeping policy, which requires all rooms to be kept clean and as free as possible of germs and other contaminating agents at all times. Surveyor observations on 3/9/26 showed that the toilet in the bathroom by the emergency exit door had brown and yellow matter on the seat with a strong bowel movement odor, the shower room floors had various dark stains and small hairs on the shower floor, and the toilet seat in the shower room had brown matter smeared on it. The bathroom across from the nurse's station also had a strong bowel movement odor, a dirty toilet seat with dark matter smeared on it, and toilet paper with a brown substance in the bowl.

On 3/12/26, further observations of the same area showed the shower room toilet unflushed with toilet paper and urine in and on the toilet, and the shower floor with hairs and dark matter stains. Later that day, the shower room toilet again had brown smears and a strong bowel movement odor, with hair and dark matter stains on the shower floor. A cognitively intact resident with multiple sclerosis and insomnia reported that the second-floor bathrooms were dirty, not cleaned often enough, and that only one shower room was open and sometimes dirty. An LPN stated that bathrooms were expected to be clean but believed there were not enough housekeeping staff, and a housekeeper reported that normally one housekeeper is assigned to the second floor and that bathrooms are expected to be cleaned each shift. The Administrator and DON stated they expected bathrooms to be clean to prevent infection control issues and that housekeeping staff were responsible for cleaning bathrooms at least once daily and as needed.