§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 provide a clean, homelike, and comfortable environment on two of two nursing units. (Garden and Upper)
Findings include:
During tours of Garden and Upper nursing units on February 27, 2024, between 10:45 a.m. and 12:20 p.m., the following were observed:
The wallpaper in rooms 131 and 134 was peeling.
In room 28, there was an area of loose wall molding, peeling wallpaper, and two tan stained ceiling tiles in the back right corner of the bedroom area. In the bathroom, a towel rack was absent from the wall, a white substance covered the sink faucet, and a black substance was observed on the floor behind the toilet.
In room 29, the bottom drawer was missing from the end table next to bed B.
In room 32, the bottom drawer was missing from the end table next to bed B. There was loose molding and a stained ceiling tile in the corner of the bedroom. In the bathroom, wallpaper was missing from the wall under the sink and two ants were seen on the floor.
In room 33, there was loose wallpaper and a loose towel rack in the bathroom.
In room 36, there was a black substance on the wall near the window and on the floor of the bathroom under the sink.
The wall near the sink in room 37's bathroom was dirty.
In room 39, there was detached molding at the bottom of the wall. In the bathroom, there was more detached molding, the toilet grab bar was loose, and there was cracked plaster. Also in the bathroom, a towel bar was missing.
There was detached molding and chipped paint in room 40. There were black stains on the floor in the bathroom.
28 Pa. Code 201.18(b)(1)(e)(2.1) Management.
| | Plan of Correction - To be completed: 04/08/2024
The following was completed as corrective action for those resident rooms found to have been affected by the alleged deficient practice. The identified rooms were corrected to include but are not limited to replacing racks, deep cleaning on floors, replacing molding, fixing wallpaper, removing black substances, and replacing drawers. The rooms were assessed for environmental concerns that needed to be contracted out and were identified and initiated. Resident rooms that were identified as needing larger renovations that require an empty room will be completed once the patient is discharged or they are moved to a different location in the building. Completion of the alleged deficiencies will be done by April 8th NHA or Designee to educate all staff on components of a Homelike environment and process for notification if areas needing repaired identified. NHA or designee will educate staff and residents that if a pest is viewed to report it and have housekeeping to clean the room or area. Pest control will continue with 2x/month visits to the center and share findings with NHA and Environmental Services. Identified areas to be treated. The maintenance Director or designee will audit 5 rooms monthly x 3 to ensure the identification of any environmental concerns in need of repair. Maintenance Director or Designee to review findings of the audit at the monthly QAPI meeting.
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