CMS Manual System - Louisiana Department of Health and Hospitals

Interpretive Guidelines §483.15(h)(2)
―Sanitary‖ includes, but is not limited to, preventing the spread of disease-causing
organisms by keeping resident care equipment clean and properly stored. Resident care
equipment includes toothbrushes, dentures, denture cups, glasses and water pitchers,
emesis basins, hair brushes and combs, bed pans, urinals, feeding tubes, leg bags and
catheter bags, pads and positioning devices.
For kitchen sanitation, see §483.70(h), Other Environmental Conditions.
For facility-wide sanitary practices affecting the quality of care, see §483.65, Infection
Control.
―Orderly‖ is defined as an uncluttered physical environment that is neat and well-kept.
Procedures §483.15(h)(2)
Balance the resident‘s need for a homelike environment and the requirements of having a
―sanitary‖ environment in a congregate living situation. For example, a resident may
prefer a cluttered room, but does this clutter result in unsanitary or unsafe conditions?
Probes: §483.15(h)(2)
Is resident care equipment sanitary?
Is the area orderly?
Is the area uncluttered and in good repair?
Can residents and staff function unimpeded?
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§483.15(h)(3)
§483.15(h)(3) Clean bed and bath linens that are in good condition;
Probes: §483.15(h)(3)
Are bed linens clean and in good condition? Are there clean towels and wash cloths in
good condition available for the resident?