Failure to Maintain Clean and Sanitary Resident Rooms and Bathrooms on Memory Care Unit
Penalty
Summary
The deficiency involves the facility’s failure to maintain a clean, sanitary, and homelike environment on the 300-hall memory care unit, affecting 12 residents out of 30 on that hall. During an observation period, surveyors and the Housekeeping Supervisor identified multiple resident rooms and bathrooms with visible feces on toilets, floors, and in open soiled briefs, as well as urine puddled on toilet risers, sticky floors, large amounts of food and fecal matter on floors, and strong putrid odors. Several toilets had visible buildup and rings, suggesting they had not been cleaned in some time, and fecal splatter remained in at least one toilet even after flushing. A resident reported that the bathroom was not cleaned often and that it had been a few days since the last cleaning. Interviews with housekeeping and nursing staff further described the practices that led to the unclean conditions. The housekeeper assigned to the memory care hall stated that he had cleaned all bathrooms the previous day but used a “trash and dash” approach for rooms that did not look bad to him, meaning he only removed trash and did not mop floors unless they were obviously sticky. He also reported that one aggressive resident’s room was not cleaned at all the previous day. The Housekeeping Supervisor acknowledged that all resident rooms and common areas were supposed to be cleaned seven days a week, but she had not checked this housekeeper’s work on the 300-hall and had last reviewed his work two weeks earlier on a different unit. CNAs and the Unit Manager/LPN reported that residents on the unit had not refused housekeeping services. Facility documents and the resident handbook stated that resident rooms and bathrooms were to be cleaned daily, with floors swept and mopped daily and more thorough weekly cleaning, which contrasted with the observed conditions and reported cleaning practices.
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