| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
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 spills and buildup on floors in rooms 7 and 15. Increase cleaning frequency. |
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.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 disrepair of walls in room 7 and 5. Observed spills on walls in room 5 and activity room. Observed baseboards throughout beauty parlor falling off. Paint was also peeling on baseboards in hallways. Increase cleaning frequency and make necessary repairs. |
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup and debris in PTAC unit filters in the activity room. Increase cleaning frequency. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.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. Dirty toilet seats were observed in room 9, 7, and 15. The shower head was broken off in the common shower room in the East wing. Increase cleaning frequency and make needed repairs. |
|
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 unlabeled emesis basins in resident bathrooms. NEW UPDATE TO RULES. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towels in room 7 and a broken paper towel dispenser in room 5. |
|
15
|
0
|
No cross-connections observed |
No |
No
|
No |
Observed no backflow prevention device on shower wand in east side shower room. Install to prevent cross contamination. |
|
16
|
0
|
Hot water between 105°F and 116°F |
No |
No
|
No |
.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 water below 105 F in rooms 7 and 5, as well as in the activity room, auxiliary kitchen, hallway bathrooms, common shower rooms, and beauty parlor. |
|
26
|
0
|
Premises properly maintained |
No |
No
|
No |
.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed items stored around dumpster including broken cat scratching posts. Wood planks of porch were breaking and moving under the weight of EHS. Remove items from around dumpster to prevent pests, and make repairs to porch to prevent injury. |
|
28
|
0
|
No pest presence; effective pest control measures |
No |
No
|
No |
.1317 (a) Openings to the outside of an institution's building or buildings shall be equipped with self-closing doors that are flush with the door frame when closed, closed windows, window screening on windows that can be opened, or controlled air currents to prevent pests from entering the building or buildings. Observed openings around door in auxiliary kitchen on the west wing, open to outdoor pests. PIC stated they were planning on replacing door. Observed ants on floor near food spill in Room 7. |