Nursing Investigation Results -

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

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

LINWOOD NURSING AND REHABILITATION CENTER
Inspection Results For:
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LINWOOD NURSING AND REHABILITATION CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a revisit survey completed on September 4, 2019, it was determined that Linwood Nursing and Rehabilitation Center corrected the federal deficiencies cited during the survey of July 19, 2019, but continued to have a deficiency with the potential for no more than minimal harm to residents under 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.

Plan of Correction:

483.10(i)(1)-(7) REQUIREMENT Safe/Clean/Comfortable/Homelike Environment:

Least serious deficiency but affects more than a limited number of residents, staff, or occurrences. This deficiency has the potential for causing no more than a minor negative impact on the resident but is 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 81°F; and

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

Observations:

Based on observation and staff interview it was determined that the facility failed to maintain clean resident care equipment for three out of five resident wheelchairs observed (Residents 19, 29 and 40).

Findings include:

Observation conducted on September 4, 2019, at approximately 3:10 p.m. revealed Resident 19's wheelchair frame and spokes of the wheels to be heavily soiled with dirt and dried food particles.

Observation conducted on September 4, 2019, at approximately 3:30 p.m. revealed Resident 29's wheelchair cushion to be coated with dried food and a build up of crumbs and dried food in the seam of the cushion on the left side.

Observation conducted on September 4, 2019, at approximately 1:45 p.m. revealed Resident 40's Broda chair (wheelchair used to provide tilt-in-space positioning) to have rusted areas where leg rests attach to the chair and the left side pad that extends from the left arm rest to the seat to have dried white colored liquid stains.

Interview with Employee 1, maintenance assistant, on September 4, 2019, at approximately 2:05 p.m. revealed the facility does not have a schedule for routine cleaning resident wheelchairs.

Interview with Director of Nursing on September 4, 2019, at approximately 5:00 p.m. confirmed that there is not an established cleaning schedule and that resident care equipment should be kept clean.

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

Plan of Correction - To be completed: 09/30/2019

Residents 19,29 and 40 chairs were cleaned.
All wheelchairs will be cleaned.
A monthly wheelchair cleaning schedule and log book will be developed. Nursing staff will be in serviced on the cleaning schedule and procedure.
The wheelchair cleaning lod book will be audited by the Environmental Services Director weekly. Results will be presented to the QI Committee monthly for review and recommendations.

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