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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 |
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|---|
|
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 pantry closet floor 500 hall needs cleaning. Observed dust/debris underneath bed in room 107, 814, need cleaning. Observed soiled plastic cabinet shelving in Spa 300 hall needs cleaning. |
|
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 loose faucet, need repair in 909. Observed soiled hand sinks in activity room, med room, OT room, dining room, nutrition room, all general common areas throughout the facility, need detail cleaning and keep clean. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
General Comment:
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair, clothing basket full of hangers, shoes, unused clothes stored in Spa room memory care. Only store bathroom related items in bathroom facility. |
|
17
|
0
|
Back-up water supply plan available and complete |
No |
No
|
No |
REPEAT General Comment:
.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.
- Observed the facility with the incomplete written plan for backup water supply. The facility is revising the detail written plan at the time of inspection. EHS explain in detail of what needed. Obtain a complete detailed plan and have available upon request. No point at this time. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
General Comment:
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed rusted/peeling on top microwave in nourishment room at the front entrance. Repairing or replacing microwave. Keep all equipment in good repair. |
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