Health inspection·June 21, 2023

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and document review, the facility failed to ensure one (room [ROOM NUMBER]) of three residents ' showers inspected, was cleaned and disinfected after use. A pile of clean towels were in the bathroom sink and plastic bags with soiled items were on the floor. These failures exposed residents to contamination. Findings: During an interview on 5/2/23 at 11:21 a.m., Resident 1 stated the shower in her room was not regularly sanitized and asked staff to clean it before her showers. Resident 1 stated she was concerned with athletic (athletes) feet- a contagious condition spread through contaminated floors, towels, or clothing. Resident 1 stated she was scared she might develop toe fungus when she stepped on the shower floor with her bare feet. During an observation on 5/2/23 at 11:27 a.m., a moist, green matter, approximately the size of a half dollar, was on the shower floor in Resident 1 ' s bathroom. Inside the sink was a pile of clean towels. Underneath the sink and on the floor was a plastic bag with a resident gown inside. A pink wash basin was on top of the plastic bag. During an interview on 5/2/23 at 11:32 a.m., the Licensed Vocational Nurse (LVN) described the green matter on the shower floor as poo-poo. LVN stated clean towels did not belong in the sink and the plastic bag is supposed to go to the laundry room. During an interview on 5/2/23 at 12:17 p.m., the Certified Nursing Assistant (CNA) 1 stated she was not aware of the current state of the bathroom in room [ROOM NUMBER]. CNA 1 stated the bathroom was used by other residents that did not have showers in their own rooms. CNA 1 stated the sink is a dirty area where clean items are not placed. CNA 1 stated dirty linen in the plastic bag are supposed to be walked over to the hallway closet and placed in a barrel. During an interview on 5/2/23 at 12:57 p.m., the Infection Control nurse (ICN) stated dirty linen goes to the laundry room. In room [ROOM NUMBER] ' s bathroom, ICN identified a resident ' s dirty brief inside a plastic bag and identified the green matter on the shower floor as poop and it was not sanitary. During an interview on 5/2/23 at 1:26 p.m., CNA 3 stated when he gave his resident a shower in room [ROOM NUMBER], the towels in the sink and plastic bags were already there. CNA 3 stated the towels in the sink should not be used for residents because it was dirty and did not inform housekeeping to Page 1 of 2 055241 055241 06/21/2023 Willow Pass Healthcare Center 3318 Willow Pass Road Concord, CA 94519

F 0921 clean the shower floor after giving his resident a shower. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 055241 Page 2 of 2