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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
|
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 stained ceiling tiles in electrical rooms on second and 3rd floor hallway. Observed stained or discolored ceiling tiles in 3rd floor hallway and 3rd floor clean linen room. Observed small stain on bathroom ceiling in 230. Observed hole in wall in room 110. Observed crack in bathroom ceiling in room 311.
REPEAT VIOLATION. |
|
3
|
0.50
|
Ceiling attachments cleanable, clean, good repair |
No |
No
|
No |
.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed a falling light in the bathroom of room 311. REPEAT |
|
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. Observed build up on shower floor in 230, 332 and in 310. Observed build up on shower curtain on 311. Observed build up in or on toilets in rooms 230, 233, 217, 211, 310, 311, and 3rd floor hall bathroom. Needs cleaning. Observed toilet paper wall holder broken in 110 bathroom. Observed build up on shower chair in 310.
REPEAT VIOLATION. |
|
16
|
3
|
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 handsink water at 118F in 230, at 120F in 229, at 121F in 233, and at 118 in 226.
REPEAT VIOLATION. |
|
28
|
0.50
|
No pest presence; effective pest control measures |
No |
No
|
No |
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed small flies in memory care dining room. Observed roach in shower floor of 233 and in bathing room next to salon. Observed bugs in light fixtures in electrical closets. Needs removal. REPEAT. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.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 heavily stained mattress in room 110. Observed torn chairs in movie room. Needs repair/replacement. Observed build up on cabinets in memory care dining room. (Maintenance manager stated new chairs are to arrive Monday for movie room.) |
|
35
|
0
|
Resident’s personal laundry properly handled; containers properly labeled; combined resident’s laundry properly handled |
No |
No
|
No |
.1319 (c) Patient contact items shall be kept clean and in good repair. Observed many hairs in clean hair rollers in salon. Needs to be cleaned. |
|
38
|
0.50
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up in refrigerators in physical therapy room, room 233, movie room, and memory care dining room.
REPEAT VIOLATION. |
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