| 72 |
GUARDIAN ELDER CARE AT WHEELING |
515002 |
20 HOMESTEAD AVENUE |
WHEELING |
WV |
26003 |
2019-08-06 |
689 |
D |
0 |
1 |
WJ7O11 |
Based on observation and staff interview, the facility failed to provide an environment free of accident hazards over which it had control. The facility failed to secure hot liquids from resident's access. The 700 Hall Nourishment Room contained a coffee maker that was left unattended and brewing with hot coffee in the pitcher. The room, which is located on the resident hallway, had no door and was accessible to anyone. There was a resident observed seated in a wheelchair at the entrance of the Nourishment Room. No staff was in sight of the Nourishment Room at the time of the observation. The coffee inside the pitcher was tested to be 184.6 degrees Fahrenheit by the facility's Maintenance Director. An observation of the first floor lobby, on 07/29/19 at 4:30 PM, revealed three (3) male residents sitting in the lobby. Resident #121 was observed independently pouring a cup of coffee from a coffee maker that was on a counter in the lobby. The coffee maker, which was unsupervised at the time of the observation, had coffee readily available. The coffee was then poured into a cup and tested at 161 degrees Fahrenheit. The facility also failed to secure chemicals and sharp objects and to keep resident area floor's dry. All the deficient practices had the potential to affect more than a limited number of residents residing in the facility. Room identifiers: 700 Hall Nourishment Room, First Floor Lobby, 600 Hall Soiled Utility Room, and 100 Hall Shower Room. Facility census: 140. Findings included: a) 700 Hall Nourishment Room An observation of the 700 Hall Nourishment Room, on 07/29/19 at 11:30 AM, revealed a coffee maker noted to be brewing with six (6) ounces of coffee in the pot. The coffee was situated on the countertop approximately three (3) inches from the edge of the counter. There was no separation or door to the Nourishment Room from the resident hallway. Residents were observed walking by as well as one resident seated in a wheelchair at the entrance of the Nourishment Room. An interview with Licensed Practical Nurse (LPN) #1, on 07/29/19 at 11:30 AM, revealed the coffee was for staff and not the residents. The LPN verified that any mobile Residents in the facility had access to the coffee maker. A temperature test conducted by the facility's Maintenance Director, on 07/29/19 at 11:50 AM, revealed the coffee was 184.6 Degrees Fahrenheit. An interview with the Maintenance Director, on 07/29/19 at 11:50 AM, revealed the Maintenance Director stated that's pretty hot, I did not know this coffee maker was here. Further observations, on 07/29/19 at 12:00 PM, revealed six (6) other Nourishment Rooms within the facility had coffee makers on their counters with brewing capacity and supplies. An interview with the Administrator, on 07/29/19 at 12:26 PM, revealed he had been notified of the coffee on the 700 Hall and its temperature of 184.6 degrees Fahrenheit. The Administrator stated he had taken care of it. b) First Floor Lobby An observation of the First Floor Lobby, on 07/29/19 at 4:30 PM, revealed a self-service coffee maker. Three residents were noted to be seated in wheelchairs, in close proximity to the coffee maker. Resident #121 was serving himself coffee from the coffee maker unsupervised. A temperature test of the coffee maker, on 07/29/19 at 04:30 PM, revealed the coffee was 161 Degrees Fahrenheit. The temperature was verified by the Assistant Director of Nursing (ADON). The ADON stated I will take care of that right now. An interview with the Administrator, on 07/29/19 at 05:15 PM, revealed he was aware of the self-service coffee maker in the First Floor Lobby. c) 600 Hall Soiled Utility Room An observation of the 600 Hall, on 07/30/19 at 10:00 AM, revealed the room labeled Soiled Utility Room was unlocked. No staff were in sight of the room at the time of the observation. The room contained the following items in an unlocked cabinet: One (1) bottle of Peroxide Multi-Surface Cleaner and Disinfectant with the warning Keep out of reach of children. Ten (10) capped shaving razors Two (2) unsecured razor blades Fifteen (15) tacks Four (4) large glass vases An interview with Registered Nurse (RN) #105, on 07/30/19 at 10:10 AM, revealed the room should have never been unlocked. The RN stated she would ensure the room was locked. d) Wing one (1) Shower Room A resident interview, on 07/31/19 at 9:00 AM, revealed a concern in the shower room. Resident #21 stated, when I go into the shower the water overflows onto the floor. Resident #21 stated, with all the water on the floor someone is going to fall and get hurt. An observation of Wing one (1) Shower Room, on 07/31/19 at 12:05 PM, revealed a shower that water flowed out the sides of the shower stall onto the bathroom floor. An immediate staff interview with Certified Nursing Assistant (CNA) #6, on 07/31/19 at 12:05 PM, revealed, The shower water flows out on the floor a lot. CNA #6 stated, if you hold the handheld shower head it doesn't flow over into the floor as bad. |
2020-09-01 |