§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 safe, clean, and comfortable environment on three of six nursing units (300, 400, 500). In addition, the facility failed to maintain the rear exterior of the building in a safe condition for resident use.
Findings include:
Observation on May 19, 2026, from 12:20 p.m. to 1:50 p.m., revealed the following:
In room 307, the walls were heavily marred with chipped paint. There were three holes on the wall behind bed A.
In the toilet room of the 400-unit bathing suite, there was a towel that had a brown substance that was placed on top of a toilet plunger.
In room 414, the flooring throughout the room was stained with a dark, black residue.
In room 508, the bottom of the wall near the shared bathroom was cracked. The built-in dresser had cracks along the side.
In room 515, the paper towel dispenser for the shared sink was broken.
The rear exterior of the facility had holes and uneven spots on the ground near the smoking area, an area used by residents.
In an interview on May 19, 2026, at 3:45 p.m., the Administrator confirmed the environmental issues were present.
CFR: 483.10(i) Safe, Clean, Comfortable, and Homelike Environment.
Previously cited 2/26/26
28 Pa. Code 201.14(a) Responsibility of licensee.
28 Pa. Code 201.18(b)(1)(e)(2.1) Management.
| | Plan of Correction - To be completed: 06/09/2026
The walls in resident room 307 have been repaired. The towel on the plunger behind the toilet with a brown substance on it in the 400 unit toilet room has been removed. The floor in resident room 414 has been cleaned to remove stains. The crack in the bottom of the wall near the shared bathroom in resident room 508 has been repaired and the dresser has been replaced. The broken paper towel dispenser in resident room 515 has been replaced. Holes in the back parking lot near the smoking area have been filled.
Initial audit completed of 300 unit and 500 unit resident room walls to ensure that they are in good repair. Where any walls were found to be in poor repair, they have been prioritized for repair. Initial audit completed of all toilet rooms to ensure that no dirty towels are found. Where any dirty towels were found, they were removed. Initial audit completed of all 400 unit resident room floors to ensure that existing stains are cleaned and removed where possible. Tougher stains have been prioritized for removal. Initial audit completed of 500 unit resident rooms to ensure that dressers are in good repair. Where dressers were found to not be in good repair, they have been prioritized for repair or replacement. Initial audit completed of 500 unit resident room paper towel dispensers to ensure that they are present and function properly. Where paper towel dispensers were found to not be in good repair, they have been prioritized for repair or replacement. Initial audit completed of facility's back parking area near the smoking area. Where holes were found in parking lot, they have been repaired.
Maintenance staff have been educated that they must identify and repair walls that have holes or cracks in them or are in bad repair and paint them when identified. Maintenance and Environmental Services staff have been educated that dirty towels found in bathrooms must be placed in soiled linen bins and should not be left in resident bathrooms. Environmental Services staff have been educated to identify broken or missing paper towel dispensers in resident bathrooms and to notify their supervisor when identified so that they can be repaired or replaced. Environmental Services Staff have been educated to identify broken resident room furniture and to notify their supervisor when identified so that it can be repaired or replaced. Maintenance Director has been educated to identify and repair holes in the parking lot.
Maintenance Director or designee will audit (5) resident rooms per week for (4) weeks and then (5) resident rooms per month for (2) months to ensure that walls are in good repair and report findings to the monthly QAPI Committee Meetings for further suggestions. Environmental Services Director or designee will audit (5) resident rooms per week and (2) shared bathrooms for (4) weeks and then (5) resident rooms and (2) shared bathrooms per month for (2) months to ensure that floors are clean and free of stains, that no no dirty towels are present in shared bathrooms and that dressers are in good repair and report findings to the monthly QAPI Committee Meetings for further suggestions. Maintenance Director or designee will audit the parking lot for holes monthly x (3) months and report findings to the monthly QAPI Committee Meetings for further suggestions.
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