Pennsylvania Department of Health
HOPKINS CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HOPKINS CENTER
Inspection Results For:

There are 144 surveys for this facility. Please select a date to view the survey results.

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HOPKINS 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 November 6, 2024, it was determined that Hopkins 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 related to the health portion of the survey process.

Plan of Correction:

483.90(i) REQUIREMENT Safe/Functional/Sanitary/Comfortable Environ:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest 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.

§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, interview with staff and residents and review of facility documentation, it was determined that the facility failed to provide a functional heating unit for one of eight rooms observed. (Room 217)

Findings include:

Observation completed on November 6, 2024 at 10:15 a.m., on 2nd floor unit, revealed a non-working unit in room 217.

Further observations revealed non-working unit was used to hold resident's hygiene supplies, linens and personal belongings.

Interview with Resident R1 who resides in room 217, on November 6, 2024 at 10:15a.m., revealed that he was told that a portable heating unit was installed temporarily during last week of October 2024 in the unit in room 217 but "cold air comes out only."

Observations and interview with facility's Director of Maintenance, Employee E3, on November 6, 2024 at 10:45 a.m., revealed that broken unit in room 217 had temporary air conditioner installed in unit, not a portable heating unit, which was not connected to outlet.

Interview with facility's administrator on November 6, 2024 at 12:00 p.m., revealed that an order was placed for six units on July 15, 2024; however, no known date of delivery available.

Per interview with Director of Maintenance, Employee E3, facility currently has two portable heating units available which are not being used.

28 Pa Code 202.28(b)(3) Management

Plan of Correction - To be completed: 12/12/2024

A replacement PTAC unit was installed in room 217, and the radiator heating system for the room is functioning properly.

Education was completed with the Maintenance Director regarding a safe, functional, and comfortable environment for all residents. Maintenance was educated to ensure that the appropriate heating unit is provided to residents.

An initial audit of temperature in resident rooms was completed. An ongoing random Weekly audit x8 will be completed to ensure a functioning heating system in the rooms, and a comfortable temperature.

Results of the audits will be addressed by Maintenance, and Reviewed in subsequent QAPI.

51.6 (a)(1) LICENSURE IDENTIFICATION OF PERSONNEL:

51.6. Identification of personnel

(a) When working in a health care
facility and when clinically feasible,
the following individuals shall wear
an identification tag which displays
that person's name and professional
designation:
(1) Health care practitioners
licensed or certified by Commonwealth
agencies.

Observations:

Based on observations and interview with staff, it was determined that the facility did not ensure that employees had an identification badge for three out of six staff interviewed ( Employee E4, E5, and E6)

Findings include:

Observations completed on November 6, 2024 at 10:00 a.m. on 2nd floor unit revealed that licensed nurse, Employee E4, did not have identification badge present on her.

Observations completed on November 6, 2024 at 10:05 a.m. on 2nd floor unit revealed that Licensed nurse, Employee E5, did not have identification badge present on her.

Observations completed on November 6, 2024 at 10:05 a.m. on 2nd floor unit revealed that Licensed nurse, Employee E5, did not have identification badge present on her.

Observations completed on November 6th, 2024 at 9:55 a.m. on 2nd floor unit revealed that Director of Housekeeping, Employee E6, did not have identification badge present on her.

Plan of Correction - To be completed: 12/12/2024

Employees E4, E5 and E6 were educated on ensuring that they have their identification badges visible at all times in the building.

NHA/designee will conduct an initial audit of all personnel for visible identification badges.

NHA/DON will re-educate all personnel on wearing identification badges at all times while in the facility.

NHA/designee will conduct weekly audits x4, then monthly x2 on wearing identification badges at all times.

Results of the audits will be addressed in subsequent QAPI.

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