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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
REPEAT
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed debris underneath the beds throughout the facility, cleaning needed and keep clean. Point remain same at this time. |
|
5
|
1
|
Ventilation equipment clean, good repair |
No |
No
|
No |
REPEAT
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed AC filters throughout the facility need regular cleaning and keep clean. Observed several bathroom ceiling vents covered with dusts. Need cleaning and keep clean. |
|
7
|
2
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
REPEAT
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed shared bath (shower stall) in A hall needs detail cleaning and keep clean. Observed separation of hand sink and wall in C hall #7, repair needed. Observed soiled (pink/brown mildew) shower chair at the bottom of the chair need cleaning and keep regular clean in C hall #7, B hall shared bath. |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident.- Observed plastic urinal container that is reused in A hall #10 without labeling. Ensure to label individual's item. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.- Observed hot water measured 118F in men/women restroom near dining room and nurse station, D hall #5. 119F at hand sink in B hall #8. 120F in B hall shared bath hand sink. Shower in A hall shared bath at 122F, and hand sink at 117F. A hall #4 at 101F and #10 at 103F. Ensure to provide tempered water between 105F to 116F. |
|
18
|
0
|
Drinking fountains clean, good repair |
No |
No
|
No |
REPEAT
.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled on the spout of water fountain with black buildup. It needs detail cleaning and Keep clean. No point deduction due to improvement. |
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