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|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
|
|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed the wall (wall paper) was damaged at the end of the 1st floor hallway, ceiling damage in the staircase and 2nd floor hallway(near housekeeping closet). Replace water damaged ceiling panels once leaks are repair. **Keep all walls and ceilings clean and in good repair. See rule .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed the elevated toilet seat and shower chair in rm 1118 were not clean, and the shower chair in rm 1220 with pink build-up. **Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f). **Keep all toilet equipment clean and in good repair. See rule .1312 (b). |
|
15
|
2
|
Approved water supply, no cross-connections |
No |
No
|
No |
(Repeat Non-Compliance) Observed no backflow prevention devices on the shower wands in each bedroom, and can wash hoses. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. Seer rule .1313 (d). |
|
27
|
1
|
Pet areas clean, veterinary records available |
No |
No
|
No |
Observed rug under litter box with pet stains and litter scattered on the floor near the box. **Animal pens, litter boxes, bird cages and other areas on the premises shall be cleaned to minimize accumulation of animal wastes, pet dander and allergens. See rule .1317 (e). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed the microwave needed cleaning in the living room kitchenette, the freezers need defrosting in each resident room visited, and the refrigerator gaskets with mold in the 2nd floor mechanical storage room. **Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed food not supplied by the facility was stored in the living room kitchenette refrigerator was not labeled. **Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought in. See rule .1321 (b). |
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