§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 observations and interviews with residents and staff, it was determined that the facility failed to provide a safe, clean and homelike environment for three of four nursing units observed (B, C and D units).
Findings include:
Interview on April 28, 2026, at 9:29 a.m. Resident R1 stated that the room was in disrepair, including broken furniture, soiled and broken privacy curtains, soiled walls and broken baseboards. Observation, at the time of the interview, of room B16, revealed the following: The dresser for bed 1 was tattered and worn; the dresser for bed 3 was also tattered and had broken drawer handles; the air conditioning unit in the room had insulation that was falling out, creating an opening that would allow pests and debris to enter the room; the air conditioning unit's filter was caked with dirt and debris; the baseboard behind bed 1 was peeling away from the wall and exposing a hole that would allow pests and debris to enter the room; the wall behind bed 3 was soiled with a brown substance; the privacy curtain for bed 3 was soiled, torn and unable to close completely; the privacy curtain for bed 1 was soiled and unable to close properly; there was no callbell for bed 3; the bathroom faucet was covered in corrosion and the bathroom had soiled tiles and missing baseboards behind the toilet.
Observation of the resident shower room on the B unit revealed that the tub was soiled with dirt and debris and that there were missing tiles around the faucet for the tub.
Interview on April 28, 2026, at 10:23 a.m. Resident R3 stated that the grab bar next to the toilet was loose. Observation, at the time of the interview, confirmed that the grab bar between the toilet and sink in the bathroom for room C2 was loose and unstable.
Continued observation revealed that the handrail in the corridor by room C2 was loose and falling away from the wall with exposed screws.
Continued observation revealed that the bathroom in room C7 had broken floor tiles. The bedside tray table for the resident in room C7 bed 2 had a section of the tray that was peeled away.
Further observation revealed that in room D17 the dresser was missing a drawer, with the resident's personal items falling from the cavity; the closet was missing a handle knob, the bathroom sink was covered in corrosion, the bathroom also had a broken towel rack and broken tiles below the sink.
A tour was conducted with the Nursing Home Administrator and Director of Nursing on April 28, 2026, at 10:40 a.m. and the above areas were reviewed.
28 Pa Code 201.14(a) Responsibility of licensee
28 Pa Code 204.12 Toilet room equipment
28 Pa Code 205.9(a) Corridors
28 Pa Code 205.67(j) Electrical requirements for existing construction
| | Plan of Correction - To be completed: 06/09/2026
1. The shower in Unit B was immediately cleaned by housekeeping staff to remove dirt and debris. The replacement for the broken tiles was ordered.
The call bell was immediately installed for bed 3 in B16. the wall was cleaned, the privacy curtains for bed 1 and 3 were immediately replaced with different curtains. The bathroom tiles were immediately cleaned by housekeeping staff. Baseboard were ordered for the bathroom The NHA ordered a new dresser for bed 1 and 3 and new baseboards. The air conditioning unit was cleaned out and repaired and the faucet was replaced.
The grab bar in c2 was secured into place. The handrail outside c2 was secured into place
New floor tiles were ordered for C7 and the bedside table was replaced.
Both the dresser drawer and handle to the closet were replaced in D17.The belongings were arranged neatly into the drawer The bathroom sink was replaced as well as the tiles. A new towel rack has been ordered and will be installed.
2. A building-wide environmental sweep was conducted to identify any other rooms or common areas that might lack a safe, clean, or homelike atmosphere. This included checking for damaged furniture, broken tiles, missing baseboards, and environmental issues that could detract from resident comfort. Any concerns identified during this audit will be corrected, including repairs, enhanced cleaning, and replacement of worn furnishings.
3. Staff will be educated on the components of this regulation with an emphasis on maintaining a safe, clean, comfortable, and homelike environment, and who to report concerns immediately.
4. Visual audits of the facility's environment will be done by the NHA/Designee 1x a week x4 weeks, 2x a month x1 month, then monthly x2 months, to ensure that residents are provided with a safe, clean, homelike environment.
5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.
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