Failure to Maintain Cleanliness of Resident Room Surfaces
Penalty
Summary
The deficiency involves the facility’s failure to maintain a clean and comfortable environment in a resident’s room, as required by its own routine cleaning and disinfection policy. The resident involved had been admitted with multiple diagnoses, including encephalopathy, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, contracture of the right upper arm, hypertension, anemia, diabetes, depression, and chronic pain syndrome. Assessment information completed in preparation for the admission MDS showed the resident was severely cognitively impaired, with a brief interview for mental status score of zero, and was dependent on staff for all activities of daily living except eating, for which setup assistance was required. On two separate observations conducted on the same day, surveyors noted a brown stain on the floor under the resident’s small two-drawer bedside dresser and a dry, crumbly brown substance adhered to the lower front and corner of the dresser. These conditions were observed in the resident’s room both late morning and early afternoon. A CNA interviewed at the time confirmed the presence of the brown stain on the floor and the dry, crumbly brown substance on the dresser. Review of the facility’s undated “Routine Cleaning and Disinfection” policy showed that routine surface cleaning and disinfection was to be conducted with a detailed focus on visibly soiled surfaces, which was not carried out in this instance. This deficiency was investigated under Complaint Numbers 2727003, 2685197, and 2678134.
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