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F0550
D

Failure to Maintain Resident Dignity and Provide Basic Comfort

Philadelphia, Pennsylvania Survey Completed on 05-23-2025

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 resident dignity and provide necessary care and comfort for two residents. In one instance, a licensed nurse administered a topical medication to a resident's shoulders in a public hallway, without providing privacy. This occurred near the activity room where other residents were present and in view, and while other residents were passing by for breakfast. The resident had moderate cognitive impairment and required moderate assistance with activities of daily living. In another instance, a resident who was dependent for activities of daily living and used a wheelchair was observed lying on a bare plastic mattress without sheets, blanket, or pillowcase for over an hour after care was provided. The nurse aide assigned to the resident stated she was unable to make the bed due to a perceived lack of linens, although other staff and a tour of the linen storage areas confirmed that clean linens were available on the unit and in the laundry room. The resident reported that the bed was stripped and left unmade after morning care.

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