|
|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
|
|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
Observed ceiling in need of repair/painting near room 281, ceiling near the spa (south) and west hallway. Observed wall damage in laundry room.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. |
|
8
|
0.50
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
Observed wheel chair stored in the spa (west). Chair was removed during the inspection.
**.1312 (b) Bathrooms shall not be used for storage of items not currently in use. |
|
12
|
0
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
Observed shower bed torn in the spa (south). Bed was removed during the inspection.
**.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
Observed water reach 96F in the spa (south), 130F in room 180, 128F in room 179 and 125F in room 176. Water temperature went down to 115F after running for awhile.
**.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. |
|
17
|
0
|
Back-up water supply plan available and complete |
No |
No
|
No |
Observed incomplete back-up water supply plan on site during the inspection. REPEAT VIOLATION.
**.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
Observed staining on curtain in room 176. Needs to be cleaned.
**.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. |
|
34
|
1.50
|
Linens provided by the institution properly cleaned and sanitized |
No |
No
|
No |
Observed no documentation on site stating what the ppm of sanitizer dispensing into washers. Establishment commingles linens. Have service provided provide documentation on that the ppm of sanitizer is being dispensed. REPEAT VIOLATION.
**.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. |
|