Failure to Maintain Clean and Homelike Environment for Bedpan-Dependent Resident
Penalty
Summary
Surveyors identified that the facility failed to maintain a clean and homelike environment for Resident #58. The resident was admitted on 11/04/25 with diagnoses including need for personal care, difficulty walking, muscle weakness, and repeated falls, and had a care plan dated 01/21/26 indicating an impaired ability to perform or participate in ADLs, with interventions to assist with toileting and provide incontinence care as needed. During an interview and observation on 03/16/26 at 11:40 A.M., the resident reported that her bedpan smelled terrible and that staff did not clean the bedpan after use. At that time, two unlabeled and unbagged orange bedpans were observed in the bathroom, one inside the toilet bowl and one on the floor between the wall and toilet, both appearing to have barrier cream residue on them. At 11:42 A.M., CNA #615 confirmed that the two bedpans were stored inappropriately. Review of the facility’s resident rights policy dated 05/01/25 stated the facility would make every effort to assist each resident in exercising their rights to be treated with respect, kindness, and dignity. This deficiency was cited under Complaint Number 2807084. The deficiency centers on the facility’s failure to ensure that the resident’s bedpan was cleaned after use and that bedpans were properly labeled, bagged, and stored, resulting in a bathroom environment that was not clean, comfortable, or homelike as required by the facility’s own resident rights policy.
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