Nursing Investigation Results -

Pennsylvania Department of Health
IVY HILL REHAB CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
IVY HILL REHAB CENTER
Inspection Results For:

There are  111 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
IVY HILL REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an abbreviated survey, in response to two complaints, completed on March 14, 2019, it was determined that Ivy Hill Rehab Center was not in compliance with the following Requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 Pa. Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.










































 Plan of Correction:


483.90(i) REQUIREMENT Safe/Functional/Sanitary/Comfortable Environ:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
483.90(i) Other Environmental Conditions
The facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public.
Observations:

Based on observations of the facility's physical environment and interviews with staff, it was determined that the facility failed to provide a safe, functional, sanitary and comfortable environment on two of three units.

Findings include:

Observation of resident rooms and hallways on March 14, 2019 revealed the following:

Room 113 had multiple scratches in the wall paint, one large area of spackling, and sections of molding missing.Room 104 had baseboard molding missing and a large area of spackling near the door.
Room 107 had baseboard molding missing and spackling area near the door.
Room 109 had spackling on the wall near the bathroom and the wall by the door, and splintering in the door.
Room 110 had spackling on the wall by the door and a loose panel on the door.
Room 112 had spackling on the room by the door, and chipped areas in the door and bathroom door.

The area across from the second floor nurses station had multiple scratched and chipped area .
The hallway near room 215 had multiple scratches in the paint.
The door to the second floor common area had multiple scratches.
Room 217 had multiple spackled areas near the door and scratched paint on the walls behind B bed and D bed.
The hallway wall near room room 216 had a spackled area and scratches.
The door to room 216 had scratched Nashua tape on the edge.
The hallway wall near room 221 had multiple spackled areas.
The door to room 220 was splintered.
The hallway walls near rooms 224 and 225 had multiple spackled areas.
The door fram to room 221 had scratches and chipped area.
Room 205 had a spackled area on the window wall.
The hallway wall near room 202 had multiple scratches in the paint and a large area, approximately 12 inches by 5 inches where the spackling was deteriorated, exposing damaged dry wall.

In an interview with the Administrator at approximately 3:00 p.m. on March 14, 2019, it was confirmed that the facilty had failed to ensure a clean, safe, functional, and comfortable environment on two of three units.

28 Pa. Code 207.2(a) Administrator's responsibility.

28 Pa. Code 201.14(a) Responsibility of licensee.

28 Pa. Code 201.18(a)(b)(1)(3)(e)(1) Management.




 Plan of Correction - To be completed: 05/11/2019

- Room 113 (there is no room 113 presumably this reference is for room 112)
The walls will be rendered free of scratches, spackling made smooth, and wall painted. Missing molding will be replaced.
- Room 104
Baseboard molding will be replaced and spackled area near door will be rendered smooth and painted.
- Room 107
Baseboard molding will be replaced and spackled area near door will be rendered smooth and painted.
- Room 109
Spackled wall near bathroom and by door will be rendered smooth and painted. Splintered door will be sanded to render smooth.
- Room 110
Spackled wall by the door will be rendered smooth and painted. Loose panel on door will be secured to door such that it remains intact.
- Room 112
Spackled wall near door will be rendered smooth and painted. Chipped areas in the door and bathroom door will be sanded to render smooth.
- 2nd Floor Nurses Station
Multiple scratched and chipped area across from 2nd floor nurses station will be repaired and rendered whole
- Hallway near room 215
Multiple scratches in the paint near room 215 will be repaired and painted to match surrounding surface
- Door to common area
Multiple scratches to door to the second floor common area will be repaired so that door is made whole again.
- Room 217
Multiple spackled areas near door and scratched paint on the walls behinds B bed and D bed will be repaired.
- Wall near room 216
Spackled areas and scratches along hallway near room 216 will be repaired and rendered whole.
- Door to room 216
Scratched Nashua tape will be removed from the edge of door
- Hallway near room 221
Multiple spackled areas near hallway wall will be repaired and painted.
- Door to room 220
Splintered door will be repaired such that it is rendered smooth
- Near rooms 224 and 225
Multiple spackled walls will be rendered smooth and painted to make whole
- Room 221
Door frame will be repaired to remove scratches and chipped areas.
- Room 205
Spackled area on the window wall will be repaired and painted to make whole with rest of wall.
- Hallway near room 202
Multiple scratches in paint in the hallway wall and deteriorating spackled exposing damaged dry wall area near room 202 will be repaired and painted to match existing walls.

All other rooms, doors, hallways, and common areas will be audited to ensure they are clean, safe, functional, and that the environment is comfortable.

Maintenance staff will be educated on identifying and addressing environmental issues to ensure that the environment is clean, safe, and functional.

Maintenance and/or designee will do random audit of units x 4 weeks, then monthly x 3, results to be reported at QAPI to ensure that walls, doors, and common areas remains safe, clean, functional, and comfortable. Governing body to determine need for ongoing audits.


Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance



Copyright 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement

Visit the PA Power Port