LVN A told federal inspectors on November 18 that she regularly carried wipes, hand sanitizer and garbage bags to the facility because housekeeping problems persisted throughout her year of employment. She worked the overnight shift on the 200 hallway, where residents lived with broken furniture, cracked lights, and bugs crawling on them.
The nursing home's housekeeping department had collapsed entirely. The administrator told inspectors that several housekeepers and the former supervisor had all quit at the same time, creating a staffing crisis that left rooms uncleaned for entire days.
One resident experienced an ant crawling on him in his room, which hadn't been cleaned until after 1:00 p.m. that day. The administrator couldn't locate daily room rounding sheets or housekeeping assignment records when inspectors asked to review them.
Resident #2 lived in a room with a broken closet door, splintered footboard on his bed, and a cracked overhead light fixture. LVN A had reported the broken closet in the maintenance log, but the facility had no maintenance director at the time of inspection.
"I felt sorry for the residents sometimes because they lived there and deserved a clean and healthy environment," LVN A told inspectors. She explained that dirty conditions could spread bugs and infections throughout the facility.
The pest control program proved ineffective despite monthly visits. LVN A and other staff members regularly saw roaches and bugs throughout the building, contradicting the facility's environmental services policy requiring daily cleaning and disinfection.
Staff repeatedly reported the dirty room conditions to administration over the year, according to LVN A. Conditions would improve briefly before reverting to unsanitary states. She preferred not to work in the dirty environment but continued bringing personal supplies to maintain basic cleanliness.
The administrator acknowledged hiring a new housekeeping and laundry supervisor to rebuild the department. However, this supervisor wasn't present during the inspection and had no information about current operations or schedules.
The director of nursing said she wasn't familiar with housekeeping schedules and didn't know why Resident #2's room remained uncleaned until afternoon. She suggested that Resident #1, who could be confused at times, might not have noticed whether housekeepers had entered the room.
Most residents on the 200 hallway were more independent and kept their own snacks and food items, the director of nursing explained. She claimed no knowledge of the ant incident involving Resident #2, saying she learned about it when inspectors brought it to her attention.
The administrator said all staff knew how to submit repair requests and locate the maintenance repair book, but couldn't explain why the broken closet door, overhead light, and footboard hadn't been reported. He acknowledged that the maintenance director was also newly hired.
Facility policy from August 2019 required environmental services to be cleaned daily and when visibly soiled. When inspectors requested the maintenance services policy, the administrator failed to provide one before they completed their review.
The administrator said resident rooms should be cleaned daily to minimize bugs and pests, and that the facility maintained a pest control program with monthly visits and additional services as needed. Despite these measures, staff continued observing insects throughout the building.
LVN A worked full-time on the 200 hallway and witnessed the ongoing housekeeping failures firsthand. She told inspectors that none of the residents had complained directly to her about dirty rooms, but the conditions clearly affected their quality of life.
The newly hired housekeeping supervisor's absence during the inspection left questions about training, supplies, and daily operations unanswered. The administrator took responsibility for answering surveyor questions since the new manager lacked institutional knowledge.
Federal inspectors found the facility violated requirements for maintaining a sanitary environment free from accident hazards. The deficiency affected some residents and carried potential for actual harm, though inspectors classified the violation as causing minimal harm.
The breakdown of basic housekeeping services left vulnerable residents living with broken furniture, inadequate pest control, and rooms that remained uncleaned for hours. Staff members like LVN A filled gaps with personal resources, bringing their own supplies to maintain minimal standards while management struggled to rebuild essential services.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Focused Care At Webster from 2025-11-18 including all violations, facility responses, and corrective action plans.