Health inspection·October 26, 2023

F 0907 Provide enough space and equipment to meet each resident's needs Level of Harm - Minimal harm or potential for actual harm Based on observation and interview, the facility failed to ensure linen supplies were readily available for resident care on 3 of the 4 patient floors. Residents Affected - Some The findings include: During the facility tour on 10/26/2023 at approximately 12:06 PM, observation of the clean linen cart of the 1st floor noted only three gowns and one sheet. Staff A, a Certified Nursing Assistant (CNA), was asked if linen frequently runs out. Staff A confirmed that the linen does run out and stated they eventually bring another cart. A tour of the second floor clean linen cart on 10/26/2023 at approximately 12:12 PM noted an empty linen cart except for 3 sheets and what appeared to be a pillowcase. Staff C, another CNA, confirmed that the carts are typically empty by mid-morning and that makes it difficult to complete care in a timely manner. When asked if they restock, she stated that, at some point in the morning/afternoon another cart comes up, but if they must perform immediate incontinent care, they are having to go search for supplies which takes time. A tour of the third floor clean linen cart on 10/26/2023 at approximately 12:45 PM noted an empty linen cart except for approximately 4 sheets, 2 gowns, and a couple of pillowcases. Staff D, another CNA, stated that they must use facility owned washcloths to provide care if someone has an incontinence episode. She stated that, if someone one had an incontinence episode, that they have to go look for linen which can delay care. When asked if the patients have to wait, Staff D stated sometimes they do. In an interview on 10/26/2023 at approximately 1:15 PM, Staff F, a housekeeper, stated that she had heard there were no linens upstairs. She stated the second carts were sent upstairs so they should have linens now. Staff F was advised that the concern is that 3 of the 4 floors had almost no linen by lunch time and if a patient needed care, they didn't have supplies. She stated they deliver two carts during the day shift: one in the morning and one mid-day. One cart is delivered to each floor on the evening shift and night shift picks up a cart when they come in to start their shift. Staff F stated she is concerned that staff are throwing linens away because they are soiled, because they aren't sending these linens down to get cleaned. She stated that the staff does not send the morning laundry down the laundry chute until the end of the shift. It would be better if they sent it throughout the day so they could wash it. The housekeeper stated that she believes that CNA's are throwing laundry away or they are hoarding it. Staff F showed pictures of the laundry stash that they have found on the floors. When asked what would be a reason for hoarding linen, Staff F confirmed probably because they run out, but also possibly because they throw it away. The Director of Housekeeping stated that he has another order for linens coming next week and that they are constantly ordering. Page 1 of 2 106051 106051 10/26/2023 Coral Bay at Pensacola, LLC 600 W Gregory St Pensacola, FL 32502

F 0907 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some During the tour, it was observed that two washing machines were currently washing what appeared to be towels. It was also observed that the carts labeled for evening shift were not yet loaded with linens. On 10/26/2023 at approximately 3:45 PM, Staff I, another CNA, was asked whether they had enough linens for incontinence care. Staff I stated that there isn't enough linen and they are often out. She stated, When we need it, it isn't there. Staff I stated there was more when they used wipes. Staff I stated the facility used to have disposable wipes to clean up bowel movements, but they now have to use washcloths and towels and they just don't think the towels will get clean in the wash. When asked if they had seen dirty towel/washcloth come back with stains, Staff I could not recall. In an interview with the Administrator on 10/26/2023 at approximately 4:15 PM, the Administrator was advised that there wasn't linen available on the carts on 3 of the 4 floors when this surveyor was touring. She stated they have been buying more linen. Staff have been educated on not throwing away linens as they need to order more then. She stated staff have received an in-service on this. She stated the staff used to use wipes, but the new corporation is not buying wipes and is only using cloth washcloths and towels. Staff would rather use wipes, and are throwing linen away. The Administrator was advised that the linen concern is that it isn't readily available during the surveyor's observation when a patient may need an immediate clean up and that 3 of 4 floors had no linens for use by mid-day. 106051 Page 2 of 2