F0584

D

Failure to Maintain Clean and Sanitary Privacy Curtains for Two Residents

Rockwall, Texas Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency related to the facility’s failure to maintain clean and sanitary privacy curtains for two residents. For one resident, an older female with Alzheimer’s disease, anxiety disorder, severe cognitive impairment (BIMS score of 3), and extensive assistance needs for all ADLs, observation showed her privacy curtain had several large brown stains. Her care plan documented risks including falls, dependence on staff for emotional, intellectual, physical, and social needs, ADL self-care deficits, limited physical mobility, and impaired visual function, with instructions to keep her call light within reach and encourage its use. Despite staff statements that everyone was responsible for maintaining a homelike environment and reporting cleaning needs during rounds, the stained curtain remained in place.

For another resident, an older male with Alzheimer’s disease, major depressive disorder, severe cognitive impairment (BIMS score of 5), bilateral lower extremity weakness, and dependence to substantial/maximal assistance for all ADLs, observation revealed his privacy curtain had red stains. His care plan noted risk for falls, impaired cognitive function, and ADL self-care performance deficits. Multiple staff members, including a CNA, LVNs, the DON, and the Administrator, stated that all staff shared responsibility for identifying and reporting housekeeping needs through regular rounds to ensure a clean, homelike environment. However, the presence of visibly stained privacy curtains for these two residents demonstrated that housekeeping and maintenance services were not effectively implemented to maintain a sanitary, orderly, and comfortable interior, contrary to the facility’s infection control plan overview, which required a safe, sanitary, and comfortable environment.