| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
1
|
1
|
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 stained carpeting in rooms. Flooring in disrepair in common areas and common area bathrooms. Missing thresholds and transition strips. |
|
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 wall damage in bathroom C210. Bathroom doors damaged. Grimy walls and doors in common areas. |
|
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 vents need cleaning in areas throughout. Pipes in room A207 peeling paint onto carpet. |
|
7
|
2
|
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. Repeat- Observed bathrooms to include toilet, sink and bathtub in resident rooms need cleaning. Tub needs refinishing in room A115 and C110. Replace stained/mildewed shower curtains and non-slip mats in tubs. In common room bathrooms repair tiles that make tub inaccessible. |
|
15
|
0
|
No cross-connections observed |
No |
No
|
No |
Observed missing backflow preventer at outside faucet. |
|
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 broken skylight over covered walkway. |
|
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 signs of insect activity (feces) in several cabinets in several common areas. Keep areas clean so you can tell if it is a past problem or an on-going problem. |
|
32
|
1
|
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. Repeat: Observed stained furniture in common areas. Drapes in disrepair in A210. Lamp shades in rooms need replacing where soiled or damaged. Paint/seal raw wood support for common room sink C213. Stove drip pans rusted C212. |
|
33
|
0.50
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled linens on beds in rooms A115, A207, A216, |
|
36
|
0.50
|
Laundry area and equipment kept clean |
No |
No
|
No |
.1319 (e) Laundry areas and equipment shall be kept clean. Observed rusted washing machines, residents. Commercial laundry area needs cleaning of area and of general storage in laundry. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no fecal/vomit written plan for clean-up. |