Health inspection·December 27, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, resident interviews, and staff interviews, the facility failed to provide a safe, clean and orderly environment for 8 of 22 rooms sampled. (Rooms 111, 114, 118, 201, 203, 205, 213 and 223) The findings include: On 12/27/23 at 11:05 AM, an observation of room [ROOM NUMBER]-2 revealed a fall mat with several rips and exposed padding. room [ROOM NUMBER]-2 was occupied by Resident #3 at the time of the survey. (Photographic evidence was obtained.) On 12/27/23 at 11:08 AM, an observation of room [ROOM NUMBER] -2 was conducted. The room was occupied by Resident #6 at the time of the survey. The trim on the wall by the head of the bed was detached from wall and fallen. Per resident interview, the trim had been detached for over 2 weeks. (Photographic evidence was obtained.) On 12/27/23 at 11:10 AM, an observation of room [ROOM NUMBER]-1 revealed a fall mat with several rips and exposed padding. room [ROOM NUMBER]-1 was occupied by Resident #4. (Photographic evidence was obtained.) On 12/27/23 at 11:18 AM, an observation of room [ROOM NUMBER] was conducted. room [ROOM NUMBER] was occupied by Resident #5 at the time of the survey. The air conditioner (AC) unit by the window had a blanket underneath. Per Resident #5, the blanket had been there since she was admitted weeks ago. The room also had exposed telephone wires and the overbed table was missing the outer border and had exposed particle board. (Photographic evidence was obtained.) On 12/27/23 at 11:19 AM, an observation of room [ROOM NUMBER] revealed a blanket underneath the AC unit. (Photographic evidence was obtained.) On 12/27/23 at 11:21 AM, an observation of room [ROOM NUMBER] revealed a blanket underneath the AC unit. (Photographic evidence was obtained.) On 12/27/23 at 11:27 AM, an observation of occupied room [ROOM NUMBER] was conducted. There were exposed wires underneath the AC unit. (Photographic evidence was obtained.) On 12/27/23 at 11:31 AM an observation of occupied room [ROOM NUMBER] revealed a blanket underneath the AC unit. (Photographic evidence was obtained.) Page 1 of 2 106043 106043 12/27/2023 Riverchase Health and Rehabilitation Center 1017 Strong Rd Quincy, FL 32351

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 12/27/23 at 2:03 PM, a tour was conducted with the Director of Nursing (DON) and the Maintenance Assistant. They verbally acknowledged all the above issues and stated they would remedy these issues immediately. On 12/27/23 at 4:05 PM, the DON provided the survey team invoices reflecting new orders for overbed tables and fall mats. These invoices stated orders were placed on 12/27/23 at 3:22 PM. The DON stated overbed tables and fall mats in disrepair would not be able to be replaced until the new ordered items arrived. 106043 Page 2 of 2