| 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 flooring needs cleaning in memory care unit, laundry room 3rd floor, under the bed in room 409. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed ceiling vent in room 406 and AC unit filter need cleaning in room 409, 406. |
|
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 loose toilet seat needs to be repaired in restroom hallway 1st floor, restroom in memory care, room 416, 107. Observed soiled shower curtain and toilet need cleaning in room 416. Observed soiled toilet need cleaning in room 107, restroom in memory care, room 409, and restroom at the main dining hall. Observed rusted toilet grab bar over toilet need repair or replace, underneath the shower chair and shower tub needs cleaning in room 218. Observed clogged hand sink needs to be repaired in room 416. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed central bath in memory care has unused dresser, shelving, and laundry basket stored in there. The facility is not in use since every one has their own bath facility in their room. Ensure to store only bath related items in bathrooms. |
|
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 soap available at the hand sink due to malfunctioning of the dispenser (memory care common area hand sink, room 409). Observed no paper towel available at the the hand sink in laundry room, med room, soiled utility room 2nd floor. Ensure to provide all hand washing supplies at all hand sink at all time. |
|
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 one dumpster is missing a drain plug, need a replacement. Keep all dumpster doors and lids closed when not in used. |
|
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 stain pillow in room 416, 406, need cleaning. Recommend pillow protectors to easily keep clean. |
|
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 soiled microwave and oven, need cleaning in the activity room 2 nd floor. |
|
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 the facility without diarrhea and vomit clean up plan/kit. NEW RULES. Diarrhea and vomit clean up poster provided at the time of inspection. |