|§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.
Based on observations, and staff interview, it was determined that the facility failed to maintain a clean, homelike environment in six of 10 resident bathrooms (Room 114-116, 201-203, 202-204, 207-209, 208-210, and 211).
During an observation of resident rooms on 12/1/21, at 1:35 p.m. the following concerns were identified:
Rooms 114 - 116 shared bathroom; radiator rusted.
Rooms 201 - 203 shared bathroom; radiator rusted.
Rooms 202 - 204 shared bathroom; radiator rusted.
Rooms 207 - 209 shared bathroom; radiator rusted.
Rooms 208 - 210 shared bathroom; radiator rusted.
Room 211; radiator rusted.
During an interview and tour of above listed resident rooms on 12/2/21, at 10:30 a.m. the Nursing Home Administrator confirmed the facility failed to maintain a clean, homelike environment for six shared resident bathrooms (Room 114-116, 201-203, 202-204, 207-209, 208-210, and 211) as required.
28 Pa Code: 201.29 (k) Resident rights.
28 Pa Code: 207.2 (a) Administrator's responsibility.
| ||Plan of Correction - To be completed: 12/30/2021|
Preparation and/or execution of this plan of correction does not constitute admission or agreement by this provider of the facts alleged, or conclusion set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of federal and/or state law. The plan of correction constitutes our credible allegation of compliance.
F-0584 Safe/Clean/Comfortable/Homelike Environment
1. 114-116 shared bathroom
2. 201-203 shared bathroom
3. 202-204 shared bathroom
4. 207-209 shared bathroom
5. 208-210 shared bathroom
6. 211 single bathroom
Rusted radiators have been sanded and painted 12/20/2021
Maintenance Director completed an audit of resident rooms for rusted radiators and repairs were made as needed. 12/3/2021
Preventative maintenance logs have been reviewed and revised to include radiators. Maintenance and housekeeping staff have been educated by Administrator on preventative maintenance and notifying the Maintenance Director of environmental issues.
Administrator, Maintenance Director, housekeeping supervisor and or designee will observe 5 resident bathroom radiators weekly x4 weeks then bi-weekly for 60 days. The results of these audits will be taken to the monthly QAA meeting for review and monitoring