|§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 observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on one of four nursing units (Third Floor).
Observations of the third floor nursing unit on January 28, 2020, at 10:51 a.m., revealed the following.
Heating units had a build up of dirt and dust in the hallway and rooms 313, 315, 317, 326, 327, 328, 329.
The window sills had chipped paint and dirt in hallways and rooms 313, 315, 317, 326, 327, 328, 329 and resident hallway.
In room 315 the bathroom floor was diry and had a dried liquid substance on it.
In room 329 there was paint coming loose from ceiling.
In the Hallway ceiling lights had bugs.
The central bath entrance had tile missing from the floor.
In the Hallway there was wall paper coming loose from the walls.
28 Pa. code 211.12 (d)(1) Nursing Services
Previously cited 3/30/2018, 10/26/2017
| ||Plan of Correction - To be completed: 03/03/2020|
1)The heating units have been cleaned and the window sills have been repainted in rooms 313,315,317,326,327,328, and 329. Room 315's bathroom was cleaned. The ceiling in room 329 was repainted. The bugs were removed from the hallway ceiling lights. The tile by the central bath entrance, and the wall paper in the hallway was replaced.
2) Utilizing the Environmental QAPI tool rounds will be completed with the Admin/ housekeeping director and the maintenance directory to identify chipped paint, stained heating unit, wallpaper pealing, and insects in light fixtures.
3) The facility will take further steps to make sure that the issue is maintained by conducting weekly rounds times 4 weeks and monthly thereafter with the admin, housekeeping director and maintenance director. Results will be submitted to QA&A for review and recommendations.