Environmental Sanitation and Maintenance Deficiencies Throughout Facility
Penalty
Summary
The deficiency involves the facility’s failure to maintain a sanitary, clean, and homelike environment throughout the building, affecting all resident care areas. During an environmental tour of all four units, surveyors noted a distinct musty/mildew odor in the hallway connecting the independent living section to Home B Short hall, despite no visible mold, mildew, or recent water damage. The building appeared older and outdated, with vinyl wood-look flooring and FRP boarding on the lower half of the walls. Dust and debris were observed along the edge of the wall on Home B Long near a resident room, and debris such as wrappers, paper, and disposable gloves were seen on floors in some resident rooms, indicating inadequate routine cleaning. Surveyors observed multiple areas of chipped and peeled paint throughout the facility. On Home B Long, chipped paint was noted outside several resident rooms where adhesive tape had been applied and removed, leaving white areas that did not match the rest of the wall. Some of these areas had been painted over without patching and with a different color paint, resulting in a mismatched appearance. Similar peeled or chipped paint was observed outside rooms on Unit 1, Unit 2, and the secured memory care unit, including areas where tape removal had stripped paint and around a wall-mounted computer near the dining/lounge area. Multiple door jambs and doors were scuffed and scraped and in need of repainting, and the FRP boarding on Home B halls was noted to have scuff marks that required cleaning. In a resident-specific observation, a shared bathroom used by one resident was found to be unclean. The trash can was overfilled, with an incontinent brief protruding over the top, and a toilet paper roll wrapper was on the floor next to the trash can. A folded towel was on the floor under the front leg of a raised toilet seat, with unclear purpose, and dried white sediment was visible on the floor in front of and to the right of the toilet. The raised toilet seat and inside of the commode had feces splatter all around them. The resident reported that housekeeping staff swept and mopped her room about once a week and felt that was enough to keep things tidy. Staff interviews revealed differing views on housekeeping adequacy: a housekeeper stated there were typically two housekeepers on day shift only and felt staffing was adequate, while the Maintenance Director, a CNA, and an RN all indicated that housekeeping struggled to keep up, that there were not enough housekeepers, and that residents sometimes reported their rooms had not been cleaned for a couple of weeks. The Maintenance Director also acknowledged ongoing roof leak issues near the area with the musty odor and recognized the need for wall and door repairs and cleaning, but these environmental issues remained uncorrected at the time of the follow-up observation.
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