Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

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MANORCARE HEALTH SERVICES-YEADON - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an abbreviated survey in response to a complaint completed on February 11, 2020, it was determined that ManorCare Health Services-Yeadon, 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)(4) REQUIREMENT Maintains Effective Pest Control Program: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)(4) Maintain an effective pest control program so that the facility is free of pests and rodents.

Based on observation of resident rooms, pest control reports, facility documentation, interviews with residents and facility staff, it was determined that the facility failed to maintain an effective pest control program in one of four nursing units. (Second Floor)

Findings include:

Interview conducted on the second floor with Resident R4, on February 11, 2020, at 1:15 p.m., reported that he has roaches in his bathroom, and that when he turns on the light he sees a large amount of roaches. Following the interview the resident's bathroom light was turned off and after ten minutes when the light was turned back on several roaches were seen in the residents bathroom. This was also observed by maintenance personnel Employee E5, who also confirmed the citing.

Interview conducted on February 11, 2020, at 2:00 PM with Resident R2, who resides in room 206, also reported that she has seen several roaches in her bathroom.

Review of the facility internal reporting system between January 17, 2020 though February 10, 2020, used to monitor maintenance concerns identified roaches were observed in resident rooms, 208 bathroom, 209 bathroom, 210 bathroom, 218 bathroom and bed A, and 224 roaches seen in the residents bedroom.

Review of pest control documentation revealed resident room 210, had structural concerns such as holes in the wall and baseboards in resident room that required to be repaired and sealed. Also, holes in the wall near window and heater in rooms 202, 204, 207, and 208. Additional review of the pest control report revealed multiple recommended repairs related to structural damage, concerns regarding sanitation issues, including excessive resident clutter, which it was needed to correct pest entry.

The facility failed to have adequate pest control program to maintain the facility free of pests, for residents who reside on the second floor.

28 Pa. Code 207.2(a) Administrators responsibility.
Previously cited 10/22/19

28 Pa. Code 201.18(a)(b)(1)(3) Management.
Previously cited 10/22/19

28 Pa. Code 201.18(e)(1) Management.
Previously cited 9/28/18 & 10/22/19

 Plan of Correction - To be completed: 04/02/2020

Rooms 206, 208, 209, 210, 218 and 224 were treated by pest control company. Holes in wall near heater in Room 202, 204, 207 and 208 have been filled and fixed.
New admissions and current residents have the potential to be affected by the deficient practice. The Maintenance Director or designee will complete facility wide rounds utilizing the Environmental Observations QAPI tool to address any pest control issues and holes in the walls. Any identified areas needing attention will be corrected.

To ensure the deficient practice does not recur, the facility will be switching to another pest control company as of 3/30/2020. Until that time, weekly review of the pest control company's report will be reviewed by the Maintenance Director and Administrator to ensure identified items are corrected. The report will be signed by both the ADMIN and Maintenance Director to ensure both parties have reviewed the report.

Utilizing the Environmental Observations QAPI tool, the Maintenance Director and ADMIN or designee will complete the audit weekly times 4 weeks to ensure the deficient practice does not recur, with results reported to QAA.

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