Environmental Deficiencies at Loyalhanna Care Center
Penalty
Summary
Loyalhanna Care Center was found to be non-compliant with the requirements for providing a safe, clean, comfortable, and homelike environment as per 42 CFR Part 483, Subpart B. Observations made during a complaint survey revealed several deficiencies in the facility's environment. The floors in the South hallways were noted to have scattered dirt, debris, and clumps of brown dust, along with black markings identified as floor glue. The carpeting in Corridor A had varying amounts of dust and debris, and the wallpaper was peeling, with tape attempting to hold it in place. Additionally, a brown, clumpy substance was observed on the wall above a kiosk. Transition strips in the doorways of rooms 114, 111, and 220 were missing pieces, and the shower in the North hall had a pink substance in the grout. Interviews with the Environmental Services Director and the Maintenance Director confirmed these observations. The Environmental Services Director acknowledged the presence of dirt and debris, the difficulty in removing floor glue, and the inappropriate presence of a pink substance in the shower, which is typically removed weekly with bleach. The Maintenance Director confirmed the broken transition strips, the persistent floor glue, and the peeling wallpaper, all contributing to the facility's unkempt appearance. These findings indicate a failure to maintain a clean and homelike environment for the residents, as required by federal and state regulations.
Plan Of Correction
In 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 law. F584 All items identified during visit have been addressed. Environmental rounds are on-going weekly in order to identify any further issues to be addressed in a timely manner. Education provided by administrator to the maintenance director and environmental services director F584 with a focus on ensuring that residents have a clean and homelike environment. Environmental audits will be completed by administrator/designee weekly X2 weeks and then monthly x2 months. Results of audits will be reviewed at the facility's Quality Assurance Performance Improvement (QAPI) meetings.