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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 |
|
|---|
|
2
|
0
|
Walls and ceilings clean, good repair |
No |
No
|
No |
NO POINTS DEDUCTED
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. *Observed - chipped and splintered wood at the bottom of a door on the 3rd floor in storage area, also deteriorating wood plank in a spa on the 1st floor. |
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. *Observed - Dusty air filters in some rooms A/C units as well as build up on an air vent in salon. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
NO POINTS DEDUCTED
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchairs stored inside bathrooms inside resident bathrooms. |
|
12
|
0
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
NO POINTS DEDUCTED
.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. *Observed - two spa areas one on 2nd floor and one on the 1st floor without disinfectant available for proper sanitation. |
|
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 - multiple public restrooms on the 3rd and second floor with water temperatures of 120 degrees, on the 1st floor, room 121 had a maximum water temperature of 93 as well as room 124 with a mix water temperature of 103. |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
NO POINTS DEDUCTED
.1314 (c) Ice machines and storage chests accessible to residents, guests, or the public shall provide ice through automatic ice dispensing equipment and shall not permit ice to be accessed using a scoop or bucket. *Observed - Ice bucket located in memory care where residents could access it. Facility assured that residents were under 24 hour supervision and that the ice bins were new ands they were unaware of rule, will now store container elsewhere. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
NO POINTS DEDUCTED
.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. *Observed - multiple pillows throughout facility that were stained. |
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