Nursing Investigation Results -

Pennsylvania Department of Health
PARKHOUSE REHABILITATION AND NURSING CENTER
Patient Care Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
PARKHOUSE REHABILITATION AND NURSING CENTER
Inspection Results For:

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PARKHOUSE REHABILITATION AND NURSING 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 October 4, 2019, it was determined that Parkhouse Rehabilitation and Nursing 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(d)(2) REQUIREMENT Essential Equipment, Safe Operating Condition: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.
483.90(d)(2) Maintain all mechanical, electrical, and patient care equipment in safe operating condition.
Observations:

Based on observation, interviews with staff and residents and review of facility documentation, it was determined that the facility failed to maintain essential mechanical equipment in safe operating condition for two of six elevators.

Findings include:

Observation on October 4, at 9:30 a.m., revealed that the facility had six mechanical elevators throughout the building. Two of the six elevators were not suitable for operation. Interview with Employee E1, maintenance director, on October 4, 2019, at the time of the observation, confirmed that passenger elevators # 6 and #7 for the north tower were not functioning properly.

Interview with Employee E2, assistant nursing home administrator, at approximately 10:00 a.m. revealed that elevator #7 had been out of service for one year and that elevator #6 had been out of service since April 2019. The lack of elevator service for elevator #7 since October 2018 and the lack of service for elevator #6 since April 2019 was further confirmed with Employee E1.

Review of facility documentation dated April 28, 2019, indicated that there was significant disruption of service, due to the fact that the smoke detector was activated for elevator #6, causing the sprinkler system to release water. The water caused extensive damage to the elevator shaft. Elevator # 6 was deemed unsuitable for operation.

Continued interview with Employee E2 revealed that the facility was under new management since July 1, 2019. Employee E2 indicated that the new management company had met resistance from the former management company related to obligations for the repair and refurbishing of the north tower elevators #6 and #7 that were both affected by the sprinklers and triggered water system during April 2019.

A review of the resident council meeting minutes for September 24, 2019, June 21, 2019 and April 26, 2019 revealed that the residents were concerned about their everyday quality of life related to the length of time that the passenger elevators have been out of operation.

A review of the resident grievance logs revealed that a family member had filed a concern with the facility on July 14, 2019. The family member reported waiting one half hour for the elevator before travelling from the ground floor to the fifth floor nursing unit in the north tower.

The facility failed to ensure that two of six elevators were maintained in proper working order.

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

28 Pa. Code: 201.18(a)(b)(1)(3) Management










 Plan of Correction - To be completed: 11/06/2019

1. Facility currently has four operational elevators for the everyday quality of life for the residents.

2. Facility continues to work with Elevator Construction & Repair Co to resolve the mechanical & electrical issues for elevators #6 & #7.

3. Staff continue to utilize the stairs to allow residents and visitors priority use of the elevators.

4. Laundry staff hours have been adjusted to utilize the elevators during nonpeak times.

5. Elevator Company rented a crane to hoist the motors to the roof that were installed as part of the repairs.

6. New Electrical panel and switches have been installed.

7.Management is committed to repairing the elevators, Payments have been submitted to the elevator company with an agreement of continued payments to keep the project on tract for the completion.

8. Upon completion of the repairs, facility will continue to work with an elevator company on preventative maintenance and monitoring of the elevators.


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