F0584

E

Failure to Maintain Safe, Clean, and Homelike Environment on Second Floor

Philadelphia, Pennsylvania Survey Completed on 03-31-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain a safe, clean, comfortable, and homelike environment on the second floor, contrary to its “Homelike Environment” policy requiring a clean, sanitary, and orderly setting. Surveyors observed multiple environmental issues, including peeling wallpaper in a resident room, an exposed electrical outlet behind a bed caused by a bubbling wall, and several brown-stained ceiling tiles in both a resident room and its bathroom. Another resident room had black and brown stained ceiling tiles near the window. In the common room, one ceiling tile was missing and another was brown-stained, and there were large wall areas patched with white spackle that had not been painted. In the second-floor hallway, several wall and ceiling areas had also been repaired with white spackle but not painted, and a piece of baseboard was found on the floor near the nurse’s station. The lighting at the nurse’s station was observed to be blinking constantly.

A resident on the second floor reported that birds repeatedly appeared at the resident’s window and explained that there was an arrangement with the Maintenance Director to leave a small hole in the window screen so the resident could feed birds and squirrels. The surveyor observed a torn area in the window screen approximately three inches by three inches, with the window open about two inches and a weight partially blocking the hole. Scrambled eggs and cereal were present on the windowsill and outside window ledge. During interviews, the Maintenance Director initially stated he was unaware of the hole but then confirmed its presence upon observation, while the Nursing Home Administrator acknowledged knowing about the hole and that it was intentionally left small so the resident could feed animals through it.