| 87 |
THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI |
475018 |
99 ALLEN STREET |
RUTLAND |
VT |
5701 |
2018-06-28 |
584 |
E |
0 |
1 |
WX2411 |
Based on observation and interview, the facility failed to ensure a safe and homelike environment for residents on the third and fourth floor. Findings include: 1. Per observation during the initial tour on 6/25/18 at approximately 9:24 AM the fire exit on the third floor, at the renovation site, was found to be partially obstructed. The door at the end of the hall marked Danger Authorized Personnel Only, was found to be partially obstructed by a mechanical lift stored to the left of the exit. The handle of the lift, was directly obscuring the door handle. Also identified at this time, in the same location, wheelchairs and a laundry cart was also stored. The equipment was observed being used during the three days but after use was returned to this location for storage. On 6/26/18 an inspector from the Division of Life Safety, confirmed the deficient practice to the surveyor at approximately 11 AM. The inspector immediately brought this to the attention of the facility administrator. On 6/27/18 at approximately 8:18 AM, the equipment was once again found to be stored obstructing the fire exit. The administrator was immediately notified by the surveyor. The administrator confirmed the equipment was blocking the fire exit. Per review of documentation provided by the Administrator, Memorandum dated 5/3/18 identified education provided to staff:, (Mitigation Plan: As a result of the diminished corridor width and blocked stairwell egress there will be a daily inspection of the area outside of the construction area to ensure no equipment is left blocking the corridor.). The administrator confirmed on 6/26/18 at approximately 3 PM, that staff observed the fire exit and corridor throughout the day/evening/night shifts. However, there were no no logs or documentation that identified the inspections were conducted. Education forms identify, sixty-three (63) employees were aware of the plan. 2. While doing observations on the fourth floor at 10:30 AM on 6/25/18, it was noted that the hallway contained linen carts, medication carts, mechanical lifts, meal delivery carts and empty wheelchairs on both sides of the hallway and in the middle of the hallway. There were mechanical lifts in front of the doorways of 2 resident rooms (421, 426). The Unit Manager stated that there was not enough space to store equipment while not in use. S/he confirmed that the lifts should not be in front of the doors to resident rooms. During further observation at this time, another room (423) which housed 3 residents had 6 wheelchairs that were stored in an empty corner of the room. Per the nursing staff, one of the residents used 2 different types of the chairs that were stored in the room, one of the other residents used a wheelchair, and the third resident occasionally used a wheelchair; however, was not using it currently. Per observation on 6/26/18 at 8:53 AM, the doorway to another resident's room (426) was partially blocked with a mechanical lift. There were also meal carts, linen carts, wheelchairs, mechanical lifts, and medication carts on both sides of the hall and in the middle of the hall making it difficult to pass by without having to move them. These observations were confirmed with a Registered Nurse at 9:15 AM, after the Vermont State Fire Marshall voiced concerns about the hall clutter and his/her observation of the resident's room (426) being blocked. |
2020-09-01 |