§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.
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Observations:
Based on observations, and resident and staff interviews, it was determined that the facility failed to provide a clean and comfortable environment in one of twelve resident rooms (Resident 100) and one of two unit lounges (second floor).
Findings include:
Review of facility policy "Homelike Environment" dated 6/20/25, indicated the residents are provided with a safe, clean, comfortable, and homelike environment. The facility staff and management maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. This includes a clean, sanitary, and orderly environment.
Review of facility policy "Bathrooms" dated 6/20/25, revealed bathrooms shall be maintained in a clean and sanitary manner and shall be cleaned on a daily basis.
Review of facility policy "Bedpan/Urinal, Offering/Removing" dated 6/20/25, indicated after a resident uses the bedpan staff are to empty the bedpan into the commode. Flush the commode. Clean the bedpan. Wipe dry and clean with a paper towel. Store the bedpan per facility policy. Do not leave it in the bathroom or on the floor.
During an observation on 3/3/26, at 9:15 a.m. Resident R100's bathroom contained a bedpan with feces in a clear bag on the floor.
During an interview on 3/3/26, at 9:20 a.m. Registered Nurse (RN) Employee E1 confirmed the bedpan should not have been left soiled and on the floor.
During an observation on 3/3/26, at 9:30 a.m. the second floor unit lounge contained the following:
- A white blanket, and approximately two white towels were located on the floor beside a wheelchair,
- Approximately three or four white towels were draped across the arm rests of the wheelchair,
- A white blanket was loosely folded on top of a wooden stand, placed next to a lamp,
- One white towel was spread across an end table, with another white towel draped across it,
- One white towel spread across the seat of a visitor chair, and one white towel draped over the back of the couch.
- A round wooden table with visible crumbs, two additional visitor chairs, a large resident scale, and a vending machine.
During an interview on 3/3/26, at 9:35 a.m. Licensed Practical Nurse (LPN) Employee E2 confirmed the second floor unit lounge should not be dirty, and dirty linens should not be left in the unit lounge.
During an interview on 3/3/26, at 1:00 p.m. the Nursing Home Administrator (NHA) and Director of Nursing (DON) confirmed the facility failed to provide a clean, comfortable, homelike environment for Resident R100 and the second floor unit Lounge.
28 Pa. Code 207.2(a) Administrator's responsibility.
| | Plan of Correction - To be completed: 04/01/2026
1. Bedpan was cleaned and emptied with surveyor still onsite.
2.Lounge was cleaned and linens removed with surveyor still onsite.
3.Resident's rooms/bathrooms were reviewed for any like bedpans and removed/cleaned as necessary.
4.Resident Lounges were reviewed and were cleaned as necessary.
5.Nursing staff were educated by the DON/designee on the facilities policy of bed pan cleaning.
6. 15 random resident rooms, bathrooms and lounges will be audited weekly for 4 weeks then Monthly for 1 month to ensure cleanliness is maintained with results submitted to QA for review and the implementation of any further corrective action as deemed necessary.
7. Date of compliance: April 1, 2026.
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