§483.10(i) Safe Environment. The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
The facility must provide- §483.10(i)(1) A safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. (i) This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk. (ii) The facility shall exercise reasonable care for the protection of the resident's property from loss or theft.
§483.10(i)(2) Housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior;
§483.10(i)(3) Clean bed and bath linens that are in good condition;
§483.10(i)(4) Private closet space in each resident room, as specified in §483.90 (e)(2)(iv);
§483.10(i)(5) Adequate and comfortable lighting levels in all areas;
§483.10(i)(6) Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain a temperature range of 71 to 81°F; and
§483.10(i)(7) For the maintenance of comfortable sound levels.
|
Observations:
Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to maintain a clean, safe, homelike environment for one out of four nursing units (Miller's Crossing).
Findings include:
The facility "Protocol: Value of Appearance" policy dated 1/6/23, indicated it is the facility policy to maintain a welcoming, clean, safe, and attractive home-like environment.
During a tour of the facility's nursing stations and shower rooms, the following was observed: -At 12:41 p.m. on 1/18/24, during an observation of the nursing station on Miller's Crossing the ceiling tile was observed to be damaged with pieces of the ceiling observed on the floor. -At 12:51 p.m. on 1/18/24, during an observation of the shower room on Miller's Crossing the ceiling was observed to be damaged with a piece of drywall screwed into the ceiling.
During an interview on 1/18/24, at 12:52 p.m. Nurse Aide, Employee E1 stated that there was a leak at the Miller's Crossing's nursing station and stated there was a hole in the ceiling in Miller's Crossing shower room that needs repaired.
Review of the facility's "Work History Report" dated 1/18/24, indicated regular maintenance and a safety inspection was completed on the roof by the Director of Maintenance, Employee E3.
During an interview on 1/18/24, at 1:35 p.m. the Director of Maintenance, Employee E3 confirmed the ceiling tile was damaged from a leak in the Miller's Crossing nursing station and shower room.
During an interview on 1/18/24, at 1:36 p.m. the Nursing Home Administrator indicated the facility is currently in the process of getting a new roof. It was indicated the leaking worsened in the last year.
During an interview on 1/18/24, at 1:40 p.m. the Nursing Home Administrator confirmed that the facility failed to maintain a clean, safe, homelike environment for one out of four nursing units (Miller's Crossing).
28 Pa. Code:207.2(a) Administrator's responsibility.
28 Pa. Code: 201.29(j) Resident rights.
| | Plan of Correction - To be completed: 03/06/2024
1. The facility maintenance department completed temporary repairs to mitigate water leaks during the week of 1/8/24. 2. The facility had been in the process of obtaining estimates from roofing companies prior to the start of this licensure survey. 3. Education will be provided to the staff to continue to report any water leaks to the administration 4. The contracted roofing company has a tentative start date of February 12, 2024 for roof repairs pending weather conditions. The ceiling repairs in the Miller's Crossing shower room and Miller's crossing nurse's station will begin following the repair of the roof. Compliance date is March 6, 2024
|
|