Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0921
F

Environmental Deficiencies on First Floor Nursing Unit

Doylestown, Pennsylvania Survey Completed on 02-05-2025

Penalty

Fine: $46,163
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a sanitary, functional, and comfortable environment for residents on the First Floor nursing unit. In resident room 107, there was a large hole in the wall behind the toilet, damaged ceiling tiles, and stained and missing floor tiles. The toilet bowl was soiled, and a basin filled with a bag of soiled linen was placed on top of the bathtub. The room lacked a paper towel holder, and personal hygiene items were cluttered on the window sill and dresser. The over-the-bed table was cracked and soiled, and the bed linens were stained. In the first floor dining room, several ceiling tiles were stained, one had a hole, and another was missing, exposing rusted pipes and wires. Room 101's bathroom had stained tiles, fallen wall tiles, a soiled toilet bowl, and a broken toilet seat. Room 108's bathroom had damaged floor tiles and a damaged wall behind the toilet. Room 104's bathroom had stained tiles and no paper towel holder. These observations indicate a failure to provide a safe and sanitary environment for residents.

Plan Of Correction

Maintenance will start to repair the hole in the wall behind the toilet in the bathroom and replace the damaged ceiling tile near the vent in the bathroom. The bathroom floor will be cleaned and missing floor tiles will be replaced as needed. Housekeeping cleaned the toilet bowl and removed the trash and basin from the tub in room 107. Maintenance will re-hang the paper towel holder. Nursing will remove the items stored on the window sill in room 107 and assist the resident in organizing their dresser. The facility will replace the over the bed table in room 107. Linen from the second bed was removed and replaced with clean linen. Maintenance department will replace ceiling tiles that are stained or missing in the first floor dining room. Housekeeping will clean the bathroom floor in room 101. Maintenance will re-affix the seven tiles to the bathroom wall in bathroom 101. Housekeeping cleaned the toilet bowl and repaired the toilet seat in the same bathroom. Maintenance will repair the damaged tile in room 108's bathroom and make repairs to the wall behind the toilet. Maintenance will re-hang a paper towel holder in room 104 bathroom and have the floor cleaned. The facility will conduct an audit of resident rooms and bathrooms to ensure a safe/comfortable/sanitary environment is maintained. NHA will work with Maintenance and Housekeeping departments to review the results and create a plan to address areas identified on this audit. Maintenance and Housekeeping staff will be re-educated on maintaining a sanitary, functional, and comfortable environment. NHA/Designee will conduct environment rounds weekly for 4 weeks, then as deemed necessary by the QAPI Committee. All results will be reported to the QAPI.

An unhandled error has occurred. Reload 🗙