§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 observations and staff interviews, it was determined that the facility failed to provide housekeeping services to maintain a clean and orderly environment on four of four nursing units (Nursing Hall A, B, C and D).
Findings include:
An observation on February 15, 2024, at 11:47 AM in the resident TV room lounge revealed two dead bugs, approximately an inch in length, behind a red recliner. Cobwebs, dust, and debris were observed on the floor near the bugs. Multiple white stains and discolorations were observed on the arm rest and seat cushion. Dust, debris, peeling paint, and black scuff marks extending the length of the heating unit. Tan stains were observed on wall below the center window.
An observation on February 15, 2024, at 12:08 PM in the C Hall shower room revealed small live black ants on the floor. A bathtub was observed with black pieces of debris on the base of the white tub near the drain. Hair and a rubber band were stuck in the metal strainer in the drain. Cobwebs were observed near the red floor border in the right corner of the shower room. with a buildup of dirt and food debris was visible in the corner underneath the cobwebs.
An observation on February 15, 2024, at 12:11 PM in the A Hall shower room revealed multiple live black ants on a piece of food debris on the floor.
Observations of the A hall and B hall nursing unit on February 15, 2024, at approximately 2:00 PM revealed the following"
Dirt, debris, and food particles throughout the hallways on the A hall and B hall.
Observation in resident room 210 revealed a used foley catheter and urine graduate cylinder coated with a dried-urine like brown yellow substance along with a bottle of mouthwash in basin on the floor in the bathroom of the room.
Dirt, debris, and food particles were observed on the floor throughout the room.
Food particles were observed on the floor in A hall TV room.
There was a brown substance splattered on the walls by the door.
Observation in resident resident room 221 revealed dust and debris on the floor.
A dried brown/yellow substance was observed around the bottom of the toilet in the resident's bathroom. A brown substance was observed on the bathroom door.
A dried brown substance was observed on the walls of resident room 214.
An observation on February 15, 2024, at 2:02 PM in the C Hall near the exit revealed a hole in the wall measuring approximately two inches by one inch. The hole was observed above a green floor molding. The green floor molding to the left of the C Hall exit was observed to be peeling from the wall. Rust stains and peeling paint were observed on the door frame.
Several chairs in the C Hall exit corridor were observed with stained and discolored seat cushions.
An observation on February 15, 2024, at 2:04 PM in resident room 105 revealed a bathroom ceiling tile with a broken corner, a black and gray scuffed bathroom door, live black ants on the floor, and multiple dead bugs in the ceiling light. The floor molding in the bathroom was stained and discolored.
An observation on February 15, 2024, at 2:07 PM in resident room #119 revealed a closet door with gray scuff marks. The wall to the left of the closet door was observed to be scrapped, discolored, and chips of paint were missing, revealing white plaster and drywall. The resident's window shades were observed to have brown debris and stains. The window sill was observed to have a buildup of dirt and dust.
An observation on February 15, 2024, at 2:11 PM in resident room 118 revealed bathroom dead bugs in the ceiling lights with and chipped bathroom floor tiles.
An observation on February 15, 2024, at 2:15 PM outside of resident room 118 revealed brown liquid stains on the green cover of the laundry cart.
During an interview on February 15, 2024, at approximately 2:30 PM, the Director of Nursing (DON) and Nursing Home Administrator (NHA) confirmed that the facility should be maintained in a clean and sanitary manner.
Refer F925
28 Pa. Code 201.18 (e)(2.1) Management
| | Plan of Correction - To be completed: 03/19/2024
Preparation and/or execution of this plan of correction does not institute an 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 solely because it is by the provisions of federal and state law. The plan of correction represents the facility's credible allegation of compliance as of March 19, 2024.
F 0584 The areas noted in the resident TV rooms on the East Side and West Sides, A and B Hallways, Rooms 210, 214, and 221 and their bathrooms, C-Hall shower room, A-Hall shower room, Small hole in C-Hall wall, C-Hall green floor molding and stained peeling paint on/ by exit door/frame, stained/discolored chair seat cushion of chairs in C-Hall exit corridor, Room 105, 118, and 119, D-Hall laundry cart cover will be cleaned, painted, repaired or replaced as needed to address the deficiencies noted. In addition, the facility's contracted Pest Control provider will address the areas where ants were noted to be observed. The facility recognizes that other residents have the potential to be affected. Please see sections 3 and 4 for system changes and monitoring. The Environmental Services Director, Maintenance Director and their staff will be re-educated on the need to provide and maintain a clean and orderly environment. Both the Environmental Service Director and Maintenance Director with conduct rounds of the facility with the Nursing Home Administrator or designee weekly for 4 weeks and then monthly for 2 months to verify compliance and any pest concerns will be forwarded to the Pest Control Provider to be addressed and documented. The results of the rounds will be reviewed at the month Quality Assurance meeting and any concern will be forwarded to the appropriate department manager to address immediately.
|
|