| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
2
|
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 laminate flooring lifting in the bathroom by shower near room 112. Observed general cleaning needed to flooring in resident laundry rooms throughout building. Observed floor tiles damaged in employee lounge under vending machines. REPEAT. |
|
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 walling damaged and baseboard in need of repair behind toilet in room 402. |
|
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 general cleaning needed to tub and flooring located in shared spa on hallway 400. Observed cleaning needed to several toilets throughout building located in residents rooms. REPEAT, improvement made from previous report. |
|
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 disposable urinal not labeled in room 402. -General comment. |
|
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 hot water not within required range in the following areas: room 402, 54F; room 107, 96F; room 208, 100F. -General comment. |
|
18
|
1
|
Drinking fountains clean, good repair |
No |
No
|
No |
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed heavy black build up on the drinking nozzle of water fountain in activity room. REPEAT. |
|
23
|
0
|
Solid waste containers properly constructed, covered where required; good repair |
No |
No
|
No |
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed 1 sliding door opened to outside dumpster. -General comment. |
|
26
|
1
|
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 1 bag of trash stored outside of dumpster area. Observed minor debris/litter surrounding trash. Improvement from previous inspection. |
|
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 several ants in room 105 on wall and window seal. Observed 1 crawling insect in bathroom near room 112. |
|
32
|
0.50
|
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 heavy debris/trash under removable couch cushions in activity room. Observed general cleaning needed to dresser drawers in beauty salon. Observed cleaning needed to shelving of dorm style refrigerator in room 105.
REPEAT |
|
33
|
0
|
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 staining on bed linen in room 202. -General comment. |
|
34
|
0
|
Linens provided by the institution properly cleaned and sanitized |
No |
No
|
No |
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Director provided service report during time of inspection however report did not detail required information. EHS advised Director to have servicer start to include required information in reports.
-General comment. |
|
38
|
1
|
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 general cleaning needed to facility provided domestic style refrigerator throughout facility (activity room, fridge on unit 200). REPEAT. |
|
43
|
1
|
Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated |
No |
No
|
No |
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food for residents not labeled in activity room refrigerator, unit 200 refrigerator, and in employee lounge refrigerator. REPEAT. |