Penn Center For Rehabilitation – Philadelphia (March)
Based on a group interview with staff interview and residents, it was determined that the nursing home failed to provide an individual quarterly statement on each of the resident’s personal funds entrusted to the facility on the resident’s behalf for 5 of 7 residents interviewed. The findings included the following: Based on a group meeting that was held on March 14, 2014, at 11:00 a.m., with 7 alert and oriented residents, 5 of them indicated that they do not receive individual quarterly statements. The financial records of 5 residents revealed that these residents had personal funds entrusted by the facility. In an interview on March 14, 2014, at 1:15 p.m., with Employee E5, Business Office Manager, confirmed that individual financial statements were not provided to each resident on a quarterly basis for those residents. Based on observation and staff interviews, it was determined that the facility failed to ensure one resident with privacy during the administration of medication and to maintain dignity for one resident with transport.
The findings included the following: In an observation on March 14, 2014 at 10:55 a.m., revealed Employee E6, a licensed nurse, administering an injection of insulin into the right arm of Resident R50, in the hallway, near the medication cart. The hallway was busy with construction workers working in the area where the medication was being administered. In an interview with Employee E6, at the time of observation revealed that Employee E7, licensed nurse provided training to Employee E6 and instructed E6 to administer the injection in the hallway. In a second observation on March 14, 2014 at 12:15 p.m., revealed Employee E8, a certified nurses aide, pulling Resident R27 backwards in a geri chair from the nurses’ station to a room, which was half the length of the hallway. In an interview with Employee E3, Registered Nurse, on March 14, 2014, at 11:10 a.m. and 12:50 p.m., confirmed that Residents R50 and R27 were not treated with dignity in regards to administration of medication and transport.
Based on observation and interview, it was determined that the nursing home failed to provide a safe, clean and comfortable environment for one resident. The findings included the following: Observations during the initial tour of the facility on March 13, and again on March 14 and March 17, 2014 revealed Resident R99 in room 275 with three large windows with mini blinds. It was noted that each blind was covered with dust. The window tracks were filled with dust and dirt, and the window ledges were covered with a black substance. Also observed were soiled areas under the heater, and in the corners of the room. Also observed was a bedside chair with stains on the seat cushions and chipped wood on the legs of a chair. An interview with Employee E4 on March 17, 2014 at 1:00 p.m. confirmed these findings.