§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 review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to provide a clean and homelike environment in residents' rooms for 10 of 14 residents reviewed (Residents 3 and 7).
Findings include:
The facility's policy regarding homelike environment, dated January 31, 2025, indicated that the purpose was to provide residents were provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible.
Observations of Resident 3 and 7's shared bathroom on November 20, 2025, at 11:13 a.m., 4:15, and 4:45 p.m. revealed that there was a brown/yellow removable substance on the toilet seat, on the metal safety rail, and there was brown removable substance around the inside of the bowl of the toilet.
Interview with the Director of Housekeeping Services on November 20, 2025, at 4:45 p.m. revealed that the rooms were cleaned daily and COVID positive rooms to be last. She confirmed that the above residents' shared bathroom needed cleaning and indicated that staff should advise her if they see that the room needs additional cleaning.
28 Pa. Code 207.2(a) Administrator's Responsibility.
| | Plan of Correction - To be completed: 12/31/2025
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provisions of federal and state laws. This statement applies to all observations listed below and throughout the entire 2567, Statement of Deficiencies document.
The shared bathroom for residents 3 and 7 was cleaned on November 21,2025.
The Nursing Home Administrator will educate the Director of Environmental Services on the requirement of 483.10(i)(1)-(7) Safe/Clean/Comfortable/Homelike Environment.
The Director of Environmental Services will do a cleaning competency on all housekeeping staff to ensure they meet the cleaning needs for the residents' bathrooms on a daily basis.
The Director of Environmental Services/Designee will audit 3 resident bathrooms on each wing 5 days a week for 2 weeks and weekly for 2 weeks. The audit findings will be reviewed at the facility's monthly quality assurance committee meeting.
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