Health inspection·August 27, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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 observation staff interviews, it was determined that the facility failed to provide housekeeping and maintenance services to maintain a clean and safe resident environment in two units out of four units observed. (A and C units) Findings include: An observation on August 27, 2024, at approximately 9:50 AM of the A hall nursing unit revealed the following: room [ROOM NUMBER] was noted to have a plastic three drawer bin covered with dried brown spots. The bathroom in this room had a plastic garbage bag tied to the grab bar by the toilet containing a soiled urinal with urine collected in the bottom of the plastic garbage bag. Another plastic garbage bag tied to the grab bar by the toilet contained a soiled foley catheter bag (urine drainage bag) with a brown substance observed in the bag. A toilet brush encrusted with a yellow substance was present in a plastic container once used for cottage cheese, on the floor in the bathroom. room [ROOM NUMBER] was noted to have a plastic garbage bag tied to the grab bar in the bathroom of this room. The plastic bag contained a graduated cylinder (container to measure volume of a liquid) this cylinder was covered in urine located in the bottom of this plastic garbage bag. Another graduated cylinder was sitting on top of the toilet stained with a yellow colored substance. A strong smell of urine was noted in this bathroom. room [ROOM NUMBER] was noted to have a plastic garbage bag tied to the grab bar in the bathroom of this room and a graduated cylinder was noted in the plastic garbage bag with urine collected at the bottom of the bag. An observation on August 27, 2024, at 10:18 AM of the C hall nursing unit revealed the following: room [ROOM NUMBER] a dark colored feces type substance was noted to be present in the toilet and covering the toilet seat. A plastic garbage bag was tied to the grab bar containing a soiled bed pan ans urine was noted in the bottom of this garbage bag. An interview with the Nursing Home Administrator on August 27, 2024, at approximately 2:15 PM confirmed the facility failed to maintain a clean and sanitary environment for the residents. Page 1 of 2 395872 395872 08/27/2024 Gardens at Millville, The 48 Haven Lane Millville, PA 17846

F 0584 28 Pa. Code 201.18 (e)(2.1) Management Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 395872 Page 2 of 2