§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.
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Observations:
Based on observation, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on four of five nursing units. (Medbridge, Arcadia, Stations 2 and 3)
Findings include:
Observation of the Medbridge unit, on July 24, 2024, at 10:02 a.m., revealed a broken and rusted toilet seat in room 36. There was also an accumulation of dirt and debris under the air conditioning unit in room 36. In room 16, the bathroom light did not illuminate.
Observations on the Arcadia unit, on July 24, 2024, at 10:10 a.m., revealed an accumulation of dirt and debris under the air conditioning unit in room 201.
Observations on Station 2, on July 24, 2024, at 10:15 a.m., revealed Resident 3's wheelchair to have an accumulation of dirt and debris on the bars.
Observations on Station 3, on July 24, 2024, at 10:25 a.m., revealed the bathroom floor linoleum lifting from the floor in room 140.
28 Pa. Code 201.18(b)(1)(e)(2.1) Management.
| | Plan of Correction - To be completed: 08/13/2024
Toilet seat in room 36 was replaced. Dirt and debris under the air conditioning unit was cleaned. Room 16 bathroom light bulb was replaced. Dirt and debris under air conditioner in room 201 was cleaned. Residents 3's wheelchair was cleaned. Bathroom floor in room 140 has been repaired.
A facility audit will be conducted to ensure the toilet seats in residents rooms are not broken or rusted, there is no dust and debris under the air conditioners, lightbulbs in bathrooms are working, bathroom floors are not bubbling up, and wheelchairs are cleaned.
Re-education will be provided to staff by NHA and/or designee on how to enter work orders into TELS. Routine environmental rounds will be completed to identify areas needing attention.
Weekly random Audits will be conducted by maintenance and/or designee and environmental services and/or designee for the next 90 days to ensure residents areas are maintained in a homelike environment. Results of the audits will be reviewed by the QAA Committee.
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