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F0558
E

Inadequate Linen Supply Compromises Resident Care

Beaver, Pennsylvania Survey Completed on 04-24-2025

Penalty

No penalty information released
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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 an adequate supply of linens readily available to staff on four of ten units, as evidenced by observations and interviews. On multiple units, linen carts were found to have minimal quantities of essential items such as sheets, towels, and especially washcloths, despite high census numbers. Staff reported frequently running out of washcloths and resorting to cutting towels, bath blankets, or sheets to use as makeshift washcloths. Some staff had to leave their units to obtain additional linens, and there was uncertainty among laundry staff regarding the quantity and delivery of linens. The Nursing Home Administrator confirmed that alternative washcloths of varying quality were purchased, but staff expressed concerns about their suitability for resident care. Residents reported that due to the linen shortage, their care was compromised, with some stating that pillowcases or sheets were used for personal hygiene, or that bed changes were made with inappropriate linens such as flat sheets instead of fitted sheets. Staff interviews corroborated these accounts, indicating that the lack of linens was a persistent issue and that makeshift solutions were commonly employed. The deficiency was confirmed by the Nursing Home Administrator, who acknowledged the ongoing problem with linen supply on the affected units.

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