|§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.
Based on observations and staff interviews, it was determined that the facility failed to ensure that the resident environment was maintained in a homelike manner in the hallways on the C2 and C3 nursing units.
Observations of hallways on the C3 nursing unit on May 16, 2019, at 9:45 a.m. revealed that there was a build-up of a removable, black substance on the floors at the baseboard and part way up the base board, and also at the base of doorframes into residents' rooms and the activity/dining room.
Observations of hallways on the C2 nursing unit on May 16, 2019, at 3:15 p.m. revealed that there was a build-up of a removable black substance on the floors at the baseboard, and part way up the base board, and also at the base of doorframes into residents' rooms and the activity/dining room.
Interview with the Director of Housekeeping on May 16, 2019, at 2:35 p.m. confirmed that the above areas on the C2 and C3 nursing units could be cleaned. He indicated that they were cleaned on August 14, 2018, and then the facility started installing new windows, and then when winter came the priority was to keep the floors cleaned from the salt, and then they were waiting to do the floors because they were painting the hallways.
42 CFR 483.10(i)(1)-(7) Safe/Clean/Comfortable/Homelike Environment.
Previously cited 9/20/18.
28 Pa. Code 201.18(e)(1) Management.
Previously cited 9/20/18.
28 Pa. Code 207.2(a) Administrator's responsibility.
| ||Plan of Correction - To be completed: 06/06/2019|
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of federal and state law.
The C-3 unit corridors had preventative floor maintenance completed on 5/26/19. C-2 corridor preventative floor maintenance has been scheduled and will be completed by 6/5/19. Both units, have been placed on a preventative floor maintenance schedule on an annual basis and as needed via a monthly preventative audit. Housekeeping has been re-educated on mopping procedures to include edges, corners and baseboards. During the mopping process housekeepers will be educated to also visualize daily signs of build up and report to Director of Housekeeping.
Housekeeping staff educated regarding the need to ensure cleaning includes baseboards and doorways, when needed by housekeeping director/designee
Floor maintenance staff educated regarding the new process for preventative floor maintenance by housekeeping director/designee
The director or Housekeeping or designee will complete random audits on 3 floors per week for 2 weeks and then randomly to ensure floors remain maintained in a homelike manner.
The results of these audits will be reported to Quality Assurance Performance Improvement Committee for review and recommendation. Any corrective action will be implemented to achieve and maintain compliance with the intent of preventing any re-occurrence.