|The lowest level of cleanliness and housekeeping on a standards scale, developed
by APPA, which comprises 5
levels identified as follows:
neglect is typically associated with a facility that is classified as
adopting an operating
standard of Crisis
Response (Level 5).
and carpets are dull, dirty, dingy, scuffed, and/or
is a conspicuous buildup of old dirt and/or floor finish
in corners and along walls.
molding is dirty, stained, and
streaked. Gum, stains, dirt, dust balls, and trash are broadcast.
vertical and horizontal surfaces have major accumulations of dust,
dirt, smudges, and fingerprint, all of which will be difficult to
remove. Lack of attention is obvious.
fixtures are dirty with
dust balls and flies. Many lamps (more than 5 percent) are burned out.
containers overflow, they are stained and marked. Trash
containers smell sour.
Relationship between FCI, funding levels and facility operating
Fig. Maintenance cartoon depicting the challenge of moving up the five levels of cleanliness.