Failure to Maintain Clean, Safe, and Homelike Resident Rooms and Bathrooms
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to maintain a clean, safe, and homelike environment in multiple resident rooms on one hall. In one private room, observations on two consecutive days revealed a large area of removable black residue on the floor beside the bed, a napkin, dental floss pick, and empty medication cup under the bed, crumbs and a heavy layer of dust under the head of the bed and on and under the PTAC unit, and a used glove on the floor. The overbed table surface was covered with sticky residue and its base with a raised white residue. On the second day, the trash can in this room was full of trash without a liner and had a pink raised residue on most sides, indicating that routine cleaning and trash handling tasks described by housekeeping staff were not being carried out as stated. In a shared room occupied by two residents, surveyors twice observed a heavy layer of dirt and dust behind one bed, and food, paper particles, pieces of an artificial flower, and a thick layer of dust and dirt under the PTAC unit. A thick layer of dust was present on the top and bottom surfaces of the baseboards throughout the room. In the shared bathroom, a wallpaper patch behind the toilet that did not match the surrounding wallpaper had been stapled in place. When later reviewed with the Maintenance Director, this patch was identified as an improperly completed repair related to a major plumbing issue, and he stated he had not received a work order or notification about it. In another shared room, surveyors twice observed a trash can without a liner containing used gloves and food particles, with thick splatters of dried pink material on the sides and base of the can. In the bathroom, an approximately 6‑inch area of wallpaper under the sink had been cut and was held in place with two thumbtacks; when lifted by the Maintenance Director, this exposed a hole and water pipes. Housekeeper #1, who was assigned to this hall on the days in question, stated that her daily responsibilities included pulling trash and replacing liners, cleaning bathrooms, dusting, sweeping and mopping under beds, and cleaning under window units, and she reported having completed daily cleaning for the affected rooms. The Director of Housekeeping described similar daily expectations, including cleaning overbed tables and sweeping under each bed, and acknowledged during joint observations that the rooms did not meet facility standards. The Maintenance Director stated he did not conduct routine room inspections and was unaware of the wallpaper repairs, and the Administrator reported she was unaware of both the substandard repairs and the unclean room conditions.
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