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F0584
E

Inadequate Linen Supply Resulting in Unmade and Improperly Made Beds

New Castle, Pennsylvania Survey Completed on 03-19-2026

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

Surveyors identified that the facility failed to provide a safe, clean, comfortable, and homelike environment on two nursing care units due to inadequate availability of clean linens. On the second floor, observations showed that the clean linen stock had no wash cloths, no bed sheets, and no towels, and the clean storage room on that floor had no bedding supplies available. On the third floor, one clean linen cart contained only one sheet, three pillowcases, and no towels or wash cloths, and the third floor clean storage room also had no additional linens. Room observations on the third floor showed multiple beds that were not made, with some having no sheets at all and others having only a flat sheet and no fitted sheet. During an interview, the RN Supervisor stated that beds were not made because there were no linens available until they arrived from the laundry room. Observation of the laundry room revealed that only one washing machine was functioning, with a single employee responsible for sorting, washing, drying, folding, and redistributing all linens. At that time, there were only two wash cloths, three towels, four sheets, and four fitted sheets cleaned and ready for use, with one load in the washer and three to four bags of soiled laundry waiting to be processed. Observation of the clean linen cart at approximately the same time confirmed that there were not enough clean wash cloths, towels, fitted sheets, and flat sheets for the facility’s census of 103 residents. In an interview, the Nursing Home Administrator confirmed that there was not enough clean linen available for all residents at the time of observation.

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