| 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. Floor in memory care common area and main facility dining room very sticky. Floors in first floor laundry area and memory care laundry and janitor closet in need of cleaning. Observed stain on carpet in front of room 215. Observed floor in memory care laundry room dirty and in need of cleaning. 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 walls in interior hallways on all floors, first floor communal bathroom, all common areas on the second floor, third floor movie room, memory care hallway, and rooms 215 and 410 damaged or scuffed and in need of repair. |
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed vent in memory care communal shower and second floor communal area with buildup of debris and in need of cleaning. Repeat. |
|
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. Observed toilets in rooms 215 and 212 in need of cleaning. Observed shower in need of cleaning and shower curtain stained in room 215 and 212. Observed showers in first floor communal bathroom, and shower and tub in memory care communal bathroom soiled and in need of cleaning. Observed toilet seat in room 215 loose and in need of repair. Repeat. |
|
8
|
0.50
|
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 memory care bathroom being used to store unused medical equipment such as wheelchairs. Repeat. |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
.1312 (c) Bedpans, bedside commodes, urinals, shared diaper changing surfaces, and emesis basins that have been used by a resident shall be kept clean and shall be disinfected before use by other residents. Observed hoppers on floors two and three soiled and in need of cleaning. |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed ice machine in first floor dining area soiled and in need of cleaning. |
|
28
|
0
|
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 dead roach in second floor janitor closet and in shower of room 221. |
|
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 microwaves and refrigerators in several rooms in need of cleaning. Repeat. |
|
45
|
0
|
Hot and cold holding equipment provided; thermometers provided, accurate |
No |
No
|
No |
.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed refrigerators in rooms 215, 221, 309, and 106 missing thermometer. |