F0921

E

Environmental and Maintenance Failures Across Multiple Units and Boiler Room

Philadelphia, Pennsylvania Survey Completed on 12-22-2025

Penalty

No penalty information released

Summary

Surveyors identified that the facility failed to maintain a safe, functional, sanitary, and comfortable environment on multiple nursing units and in the boiler room. On the 3 East unit, one resident room had a fan that had fallen off the wall, a dresser missing a drawer, a bed remote with frayed wires, two holes in the floorboards, a loose ceiling panel, and floor tiles taped together. The 3 East dining room contained five unsteady tables and a cabinet with built-up debris and missing handles. On the 2nd Floor [NAME] unit, fluorescent ceiling lighting was out, leaving an area near several rooms dark, and multiple resident rooms had loose baseboards, holes in walls near sinks, and walls that were scuffed or dirty with dark marks. In one room, the bed headboard was off and leaning against the wall.

On the 3 [NAME] unit, surveyors observed a resident room with a toilet clogged and full of feces that could not be flushed; a resident reported that staff flush briefs down the toilet and that this occurs often. Another room had a hole in the baseboard behind a tube feeding pump, another had a non-functioning bathroom overhead light, and another had a bathroom light with no cover and a large hole above the baseboard. In an additional room, the PTAC unit had wires protruding from the underside, drywall was torn apart next to the sink, and the toilet lid cover was too large to close properly. The pantry on this unit had two missing floor tiles, a leaking water supply line with towels on the floor to absorb water, and no refrigerator for resident food storage. The medication room contained two oxygen tanks stored without holders, and the dining room PTAC unit was supported by stacked wood pieces, with three unstable tables and two windows lacking screens, one of which would not close due to a missing frame piece. On the 3rd Floor [NAME] unit, several PTECC/HVAC wall units had missing or loose bottom panels, exposing sharp edges and internal parts.

Additional environmental issues were found elsewhere in the building. On the 1st Floor East unit, the employee bathroom door was broken and loose, and the metal door frame was disconnected from the floor, causing the entire unit to move when pushed. The central bathroom on the 2nd Floor [NAME] had an unlocked door and was under renovation, with floor tiles and baseboards removed and open holes in the floor where drain grates had been taken out. The 3 [NAME] unit central shower room was also under renovation, with toilet, shower, and bath fixtures removed, flooring stripped to concrete, multiple deep holes in the floor, and multiple ceiling panels fallen or caved in; the construction area was unsecured, and a resident reported entering the room to use the toilet and finding all fixtures removed, now having to use a shower room on another unit. Staff confirmed the shower room doors had been left unsecured and that residents must use shower rooms on other units. In the boiler room, there was standing water covering most of the floor up to the doorway threshold outside the kitchen, which the Maintenance Director attributed to a leaking hot water holding tank of unknown duration. In the East stairwell, the roof access door was observed open, and the Nursing Home Administrator confirmed it should not be left open.