Failure to Maintain Clean and Homelike Resident Room Environment
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, comfortable, and homelike environment in accordance with its own environmental cleaning and disinfection policy. The policy, last reviewed July 2, 2026, states that proper cleaning and disinfecting of environmental surfaces is necessary to break the chain of infection and that household surfaces, including floors, tabletops, resident care areas, dining rooms, common areas, shared shower rooms and bathrooms, hair salons, and activity areas, should be cleaned regularly, when spills occur, and when surfaces are visibly soiled. Despite this policy, surveyors observed multiple resident rooms over several days with visibly soiled surfaces and debris that remained unaddressed. In one resident’s room, on three separate observations on March 9, 10, and 11, the tray table was dirty with spilled liquid and the floor was dirty with a discarded plastic cup, with conditions remaining consistent from day to day. In another resident’s room, observed on March 9, 10, and 11, the floor appeared heavily soiled and had a straw wrapper and a pepper packet on the floor, again unchanged across days. A third resident’s room was observed on March 10 and 11 with a tray table that was heavily soiled with debris and spilled liquid stains on both days. During an interview, the Nursing Home Administrator acknowledged that there had been issues with oversight in the housekeeping department and stated an expectation that the facility provide housekeeping services necessary to maintain a safe, clean, comfortable, and homelike environment.
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