Failure to Provide Homelike Environment Due to Damaged Recliners
Penalty
Summary
The facility failed to provide a homelike environment for three residents, as observed during a survey. Resident 19 was found sitting in a facility recliner with heavily shredded and torn leather covering on the arms, seat, and back. To provide comfort, the resident used her own blanket to cover the back of the chair and expressed a preference for a brown slipcover like her roommate's recliner. Similarly, Resident 69 was observed sitting in a recliner with very heavily shredded and torn leather covering, and Resident 84's recliner also had shredded and torn leather-type covering on the arms and back. Interviews with the Maintenance Supervisor and the Nursing Home Administrator confirmed the condition of the recliners used by Residents 19, 69, and 84. The Maintenance Supervisor acknowledged that the recliners should have had slipcovers, while the Nursing Home Administrator admitted that most recliners have brown slipcovers, but there have been difficulties in finding more slipcovers that fit. The Administrator also confirmed that the torn and shredded recliners are not homelike and should not be used by the residents, indicating a failure to maintain a safe, clean, comfortable, and homelike environment as required by resident rights and administrative responsibilities.
Plan Of Correction
1. The identified concern for R19, R69, and R84 will be reviewed and corrected. 2. The Director of Nursing or designee will audit current recliners to determine the need for a slipcover. Chairs that are in bad shape will be discarded and replaced. 3. The Director of Nursing or designee will re-educate staff on the process of utilizing a slipcover, if needed, for a recliner. 4. The Director of Nursing or designee will audit recliners for usage of a slipcover if needed. The audits will be conducted weekly x4 and monthly x2. All findings will be submitted to the Quality Assurance Committee.