§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 and staff interview, it was determined that the facility failed to provide a clean, comfortable, and homelike environment on one of four nursing units reviewed (Maple Nursing Unit, Resident 1).
Findings include:
Observation of Resident 1's room on the Maple Nursing Unit on January 19, 2024, at 11:10 AM and 12:19 PM revealed the following:
A significant accumulation of crumbs and debris under the bed especially near the foot of the bed.
The perimeter of the floor where it met the wall near the egress door to the room had an accumulation of crumbs and debris.
The floor mat next to the bed was covered with dirty footprints and had several white stains on it.
There was a plastic bag filled with rocks that was propped against the door to keep it open.
Resident 1's scoot chair had a significant accumulation of debris under the cushion of the chair.
The above information was reviewed in a meeting with the Director of Nursing and Assistant Director of Nursing on January 19, 2024, at 4:05 PM.
28 Pa. Code 201.18(b)(3)(e)(2.1) Management
| | Plan of Correction - To be completed: 02/19/2024
F584 1. Resident 1's rooms has been cleaned, door has been adjusted, scoot-chair cleaned, and other noted items have been resolved. 2. Maple Nursing unit and resident rooms have been inspected and are routinely being cleaned and checked for repair needs. 3. Housekeeping and nursing staff have been re-educated to promote a clean and orderly environment. When areas of dirtiness are revealed, cleaning will be completed to eliminate the concern. Facility administration will complete routine environmental rounds to maintain a clean and orderly environment. 4. NHA/designee will audit nursing units and resident rooms to ensure a clean and orderly environment. Results of audits will be reported to QA Committee for review and recommendations. These audits will be completed on a bi-monthly basis for one month and then follow monthly for 2 additional months. 5. Corrective Action Date: February 19, 2024.
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