|§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, comfortable and home-like environment on three of four nursing units. (Nursing units one, two, and three)
Observations during environment tours conducted on October 6, 2019, through October 9, 2019, revealed the following:
On October 6, 2019, at 10:33 a.m., in room 220, there was a brown liquid substance on the floor at the foot of the resident's bed.
On October 6, 2019, between 12:04 p.m. and 12:04 p.m., in rooms 101, 102, 103, 104, 105, 108, 107, 109, and 115 the base-board heating shields were detached from the walls.
On October 6, 2019, at 12:41 p.m., in room 406 there was a pervasive smell of urine in and in the area outside of the room.
On October 6, 2019, at 12:58 p.m., in the resident recreation room, located adjacent to the resident personal laundry room, there were two window sills and two air conditioning units with a heavy accumulation of dust/dirt.
On October 6, 2019, at 1:04 p.m., in the resident personal laundry room, the top-loading washing machine had an excess build-up of lint under the lid and around the rim of the washing machine.
On October 6, 2019, at 1:34 p.m., on the unit four central bath room, the floor was soiled and the several areas of the wall were heavily marred.
On October 6, 2019 at 1:40 p.m., the common area on nursing unit four, there was a love seat and two chairs with stains.
On October 6, 2019, at 10:50 a.m., the over bed lights for both beds were non functioning. Additionally, the cords for the lights were broken. Several areas of wall throughout the room were found to be heavily marred.
On October 6, 2019, at 2:00 p.m., in room 311 there were four stained ceiling tiles. The light cover had what what appeared to be a water stain. There were two stained ceiling tiles in the hallway outside of the room.
28 Pa. Code 207.2(a)(1) Administrator's responsibility.
Previously cited 9/17/18, 12/13/19
| ||Plan of Correction - To be completed: 11/11/2019|
Brown liquid substance on the floor at the foot of the resident's bed was cleaned.
Heating shields in rooms 101, 102, 103, 104, 105, 108, 107, 109 and 115 were properly placed.
Urine smell in room 406 and in the area outside was properly cleaned and treated.
The windowsills and ac units in the resident recreation room located adjacent to the resident personal laundry room were cleaned of the heavy accumulation of dust/dirt.
The top loading washing machine in the resident personal laundry room had the excess of lint under the lid and around the rim of the washing machine cleaned.
The unit four central bathroom floor was cleaned and walls with heavy marring were repaired
The love seat and two chairs with stains in the common area on nursing unit four were cleaned.
Room 305 Overbed lights were fixed. The cords were fixed as well.
Walls that were heavily marred were corrected.
The stained ceiling tiles in room 311 were replaced. The light cover was cleaned. The two stained ceiling tiles in the hallway outside were replaced.
Heating shields in resident rooms on unit 1 will be checked.
Unit 5 will be checked for urine odors and will be cleaned as needed.
The windowsills and ac units in the resident recreation rooms and personal laundry rooms will be checked for heavy accumulation of dust/dirt.
Resident personal laundry washing machines will be checked.
Central bathroom floors and walls will be checked.
Furniture in common areas will be replaced when full facility renovations are completed.
Unit 3 overbed lights will be checked.
Unit 3 ceiling tiles will be checked.
Housekeeping and Maintenance will be re-educated, on proper environmental conditions.
The Administrator/designee will audit monthly x 3.
Audit findings will be presented to Quarterly QA