Health inspection·February 28, 2024

F 0921 Level of Harm - Minimal harm or potential for actual harm Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation and interview, the facility failed to provide adequate supplies of clean laundry in all resident care areas throughout the entire facility. Residents Affected - Few The findings include: On 2/28/24 at approximately 1:20 PM, Resident #3 was observed in the hallway in a reclined geriatric chair. He had a pillow under his legs. The pillow did not have a pillow case on it. On 2/28/24 at approximately 1:20 PM, an interview was conducted with Resident #6. Her bed was stripped with no sheets on it and the call light was on. Resident #6 explained that she has been waiting for staff to change her bed so she can lay down. She complained that there has been a shortage of sheets and other linens. The resident said she has to lay on the bed without sheets sometimes. She stated that staff often run out of sheets and it is not until evening time when she gets her bed made. She said she likes a sheet under her blanket and often staff are unable to put a flat sheet under the blanket due to the shortage of linen supplies. She also explained that sometimes staff runs out of under pads to place on the bed. The resident's husband is present during the interview. He agreed that there has been a problem with the linen supplies. On 2/28/2024 at approximately 10:50 AM, an interview was conducted with Nurse A, a Licensed Practical Nurse (LPN). She said they have been running out of linens recently. She explained that staff found it difficult to complete showers and other activities of daily living due to inadequate linen supplies. Nurse A indicated this has been a problem in the past and has been a problem again over the last week or so. Nurse A presented each of the facility's linen storage areas. Storage cabinet #1 had a stack of approximately 25 washcloths and no fitted bedsheets, no flat bedsheets, no pillow cases, no bed pads, no towels, and no bed spreads. Storage cabinets #2 and #3 had no linen of any kind. The main linen storage area contained approximately 20 pillow cases, 10 towels, 10 flat and fitted sheets and 10 gowns in a box that was sitting on the floor. In the laundry room, there was a table on which staff had folded a few items. There were approximately 2 blankets, 2 fitted sheets, 5 washcloths, 6 flat sheets, and 15 towels on the table. There was also a cart with a few bed pads, sheets, and towels on it. Nurse A was asked if this was all of the linen storage available for the facility with a census of more than 100 residents. Nurse A explained that there might be more in central supply. She explained that someone would need to contact the Director of Housekeeping and Laundry to gain access to those areas. (Photographic evidence of each linen storage area was obtained) On 2/28/24 at approximately 11:37 AM, an interview was conducted with the Director of Housekeeping and Laundry. The surveyor showed him the pictures of the linen storage areas that were taken at approximately 11:00 AM. He was asked if there are specific stock levels for the different types of linen Page 1 of 2 105282 105282 02/28/2024 Eden Springs Nursing and Rehab Center 4679 Crawfordville Hwy Crawfordville, FL 32326

F 0921 Level of Harm - Minimal harm or potential for actual harm to keep adequate supplies available within the facility. He explained that they were working on restocking the linen storage now. The Director of Housekeeping and Laundry explained that they do not keep a specific stock number of linens on hand inside of the facility. He explained that supervisors hand out bags of linen to direct care. He also said that supervisors have keys to get any additional linens out of central supply. Residents Affected - Few On 2/28/24 at approximately 12:15 PM, an interview was conducted with the Maintenance Supervisor. He was asked to accompany the surveyor to central supply to look at the linen storage out there. All of the linen storage was in central supply in unopened boxes. There was observed 1 case of pillows in a box, 2 cases of flat sheets in boxes, 2 cases of under pads in boxes, 1 case of blankets in a box, and 1 case of wash cloths in a box. He was asked if there are specific stock levels for the different types of linen to keep adequate supplies available within the facility. The Maintenance Supervisor said he was unaware of specific stock levels for linen and this would be up to the Housekeeping and Laundry Supervisor. On 2/28/24 at approximately 12:55 PM, an interview was conducted with the Director of Nursing (DON). She was shown the pictures of the empty linen storage closets and the laundry room linen storage. The DON explained that a bag system was in place. Linen supplies were bagged before shifts based on the number of baths and showers to be completed each shift along with extra bags for extra supply if needed. The DON explained that the maintenance and housekeeping director has access to central supply. The maintenance director lives 5 minutes any and if storage runs short any time day or night he will come refill if needed. 105282 Page 2 of 2