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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
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
NO POINTS DEDUCTED
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 damaged flooring in hall outside of 9903. |
|
2
|
0
|
Walls and ceilings clean, good repair |
No |
No
|
No |
REPEAT
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 scuffed walls and damaged baseboards throughout downstairs loading dock area and storage areas; Observed minor cracking of paint next to bathroom sink in 10B. (No points deducted due to improvement noted. |
|
7
|
0
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
NO POINTS DEDUCTED
.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 green residue on hand sink faucet in 10909. Observed leak from piping at hand sink in (7B) nourishment room in need of repair; Observed slow drain inside room #8410 |
|
16
|
3
|
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 hot water at in LCH dialysis unit at 95F and at 102F in unit 7100. Observed hot water only reach 81F in CT; Observed 3rd floor room #16 water observed at 84F.
Observed water temperature measured at 119F in 7707 DHU; 103F in 6A nurse station, soiled utility, and room 6115; Observe 92F in shower room 6 CD-ADTU; 81F in 6B room 6207. 95F in 6B room 6211; 118F 6HCTICU, and patient restroom on the hall. (Note) DHU and 6 Tower having discolored / rusty water at all hand sinks. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
REPEAT
.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 damaged cabinet in Nourishment in 9A. Observed damaged cabinet drawers in 10A. Observed chair cushion ripped inside room #8203 in need of repair / replaced; Observed counter top with old spilled debris accumulated (8DE) Nourishment room. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
NO POINTS DEDUCTED
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed spill in 9E nourishment freezer and 10DE nourishment 2 refrigerator |
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