This report is a result of an onsite follow-up inspection regarding the plans of correction for the March 13, 2012 unannounced follow-up inspection of incident reports. The follow-up inspection was conducted on June 4, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the onsite follow-up inspection, Pyramid Healthcare, Inc., Duncansville, was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection.
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Plan of Correction
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Observations
Based on a physical plant inspection, the facility failed to keep the facility in good repair at all times for the safety and well-being of residents, employees, and visitors, failing to keep covers on all baseboard heaters in two patient bedrooms within the facility.
The findings include:
The physical plant inspection was conducted on June 4, 2012. Based on observation during the inspection two patient bedrooms had baseboard heaters that failed to have a cover in patient rooms 102 and B-15.
The director of nursing and charge nurse confirmed this finding.
This is a repeat citation from the March 13, 2012 unannounced follow-up inspection of incident reports.
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Plan of Correction
On June 4th, 2012 following our inspection, the covers were replaced on the baseboards in rooms B-15 and 102. On June 4th, 2012,photos were taken of these rooms and submitted to DOH via email for proof of completion. Maintenance supervisor will add baseboard monitoring to the weekly walk-through maintenance inspection checklist.This will be monitored by the maintenance director. This will be completed on 7/9/2012. |