Failure to Maintain Safe and Comfortable Room Temperatures
Penalty
Summary
The facility failed to maintain safe and comfortable room temperatures for residents, with multiple resident rooms and the dialysis room recorded at temperatures ranging from 82 to 85 degrees Fahrenheit, exceeding the recommended maximum of 81 degrees. Observations revealed that residents expressed discomfort due to the heat, with some using fans or fanning themselves with paper, and others requesting additional fans. Staff interviews confirmed that the air conditioning units were not functioning properly, and parts had to be ordered and replaced, resulting in several days of elevated indoor temperatures. The maintenance director reported that temperature checks were conducted hourly during the day but not overnight, and that fans were provided only upon request. Some residents were unaware that fans were available. Dialysis staff reported that residents undergoing treatment in the dialysis room, which was also affected by the heat, appeared more fatigued and had more fluctuating vital signs than usual. Staff provided cold water, popsicles, and monitored for signs of heat-related illness, but did not check on residents during dialysis sessions. The facility's temperature logs confirmed that room temperatures remained above 81 degrees for extended periods. The deficiency affected 53 out of 54 sampled residents, with both residents and staff acknowledging the uncomfortable and potentially unsafe conditions caused by the inadequate temperature control.