Failure to Prevent Accident Hazards and Ensure Resident Safety
Penalty
Summary
Surveyors identified multiple deficiencies related to accident hazards and inadequate supervision within the facility. On several units, hot water temperatures accessible to residents were found to be above the facility's policy limit of 120 degrees Fahrenheit, with readings as high as 131.1 degrees. Staff interviews revealed that water temperatures were not being regularly monitored or documented, and the Director of Plant Operations had not calibrated his thermometer or maintained consistent records. The last documented temperature checks were from several months prior, and the facility was unaware of the ongoing issue until informed by surveyors. Staff also reported experiencing excessively hot water but did not report it to management. Additionally, a surveyor observed an unsecured container of PDI Sani-Cloth Bleach Germicidal Disposable Wipes left in a resident's room, making hazardous chemicals accessible to residents. The Facility Administrator confirmed that such chemicals should not be available for resident use and removed the item after being notified by the surveyor. The facility also failed to provide required supervision and safety equipment for a resident assessed as needing assistance while smoking. The resident was observed smoking outside without a protective apron and with only intermittent staff supervision, despite assessments indicating the need for both. Interviews with staff confirmed that the resident often smoked alone and that staff were unaware of the requirement for a protective apron during smoking activities.