Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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

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Number of Residents Affected
By Deficient Practice
Initial comments:

Based on an abbreviated survey in response to two complaints completed on November 21, 2019, it was determined that Somerton Nursing and Rehabilitation 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 as it relates to the health portion of the survey process.

 Plan of Correction:

483.10(i)(1)-(7) REQUIREMENT Safe/Clean/Comfortable/Homelike Environment:This is a less serious (but not lowest level) deficiency and affects more than a limited 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. This deficiency was not found to be throughout this facility.
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 81F; and

483.10(i)(7) For the maintenance of comfortable sound levels.

Based on observation and staff interview, it was determined that the facility failed to provide a safe, clean and comfortable environment, including bathrooms and a common area, on two of four nursing units (B Unit and D Unit).

Findings include:

Observations of bathrooms in rooms on the D Unit on November 21, 2019 between 12:00 p.m. and 2:00 p.m. revealed the following:

In room D103, there was a gap between the lineoleum and cove molding as well as a torn wall board and four holes underneath the soap dispenser.

In room D106, there were multiple gashes in the wall opposite the toilet.

In room D110, the linoleum was buckled and there was a gap between the linoleum cove molding, the caulking between the sink and the wall was cracked the length of the sink, and there was a dark brown substance on the mirror frame.

In room D114, the linoleum was buckled and there was a gap between the edge of the linoleum and cove molding.

In room D119, there were multiple area of buckling and cracking in the floor tiles.

In room D125, there was unpainted plaster and gashes in the wall opposite the toilet and near the front of the sink.

Observations of resident bathrooms on the B Unit on November 21, 2019 at approximately 2:00 p.m., revealed the following:

The counter in room B16 was chipped with a pointy edge.

A hole in the linoleum of room B18 approximately 2 inches by 4 inches.

The door frame in room B22 had areas with rust like color and a gash in the door by the handle of the adjoining room.

Observation of the Country Kitchen common area on B Unit on November 21, 2019 at approximately 2:30 p.m., revealed the following:

The door on the right lower counter was out of alignment and did not close.

The floor between the radiators was stained with a rust-like color.

The housing for the radiator was loose and had areas that resemble rust.

The cove molding on the left radiator was hanging loose.

In an interview with the Administrator on November 21, 2019 at approximately 2:45 p.m., the above stated environmental issues were reviewed.

28 Pa. Code 207.2(a) Administrator's responsibility

28 Pa Code: 201.18(b)(1)(3) Management.
Previously cited 3/23/19 and 7/19/19

 Plan of Correction - To be completed: 01/13/2020

1. Bathroom floors in room D103, D110, D 114, D119, B 18 and floor between the radiators in country kitchen on B wing will be replaced with VCT tiles and install cove base.
- Bathroom walls in room D125, D106, D110, will be spackled and painted.
- Countertop in room B16 will be replaced.
- Mirror in room D 110 will be replaced.
- Radiator cover and cove base in B wing country kitchen will be painted and installed properly.
- Door frame in room B22 will be painted and install door enforcer on damaged door.
- The door/hinges on the right lower counter in country kitchen will be repaired.
2. Audit of the building was done, and areas identified and will be corrected.
3. Areas will be audited monthly x 3 by maintenance/designee to ensure areas are maintained.
4. Maintenance/designee will report finding to QAPI meetings until compliance is met.

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