Deficiency in Resident Room Furnishings on West Wing
Penalty
Summary
The facility failed to provide essential furnishings in resident rooms on the West Wing's third floor, affecting 17 out of 17 rooms. During an observation, it was noted that several rooms were missing bed frames, mattresses, and functional furniture. Specifically, rooms with dual and quad occupancy were lacking these necessary items, which are required to ensure a safe and comfortable environment for residents. The absence of these furnishings was confirmed through both observation and staff interviews. Interviews with the Nursing Home Administrator and the Maintenance Director revealed that the third floor of the West Wing was being used for storage of beds and other items. The Maintenance Director acknowledged that while some equipment had been ordered and received, only about three-quarters of the unit could be made ready for residents within 24 hours. This situation indicates a failure to meet the regulatory requirements for providing a proper living environment for residents, as outlined in the facility's policy and federal regulations.
Plan Of Correction
1. The rooms are confirmed to be clean and equipped with the regulatory requirements. 2. The NHA initially audited this unit with the director of plant ops and environmental services and confirmed it was available for operation in the event of an emergency. 3. The NHA or designee re-inserviced the director of plant operations and environmental services to ensure all units, even units without residents on them, are prepared for use in the event of an emergency. 4. The NHA will audit weekly to ensure the unit continues to be properly available for use in the event of an emergency.