| 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 floor damage in 400 hall nourishment room. Needs cleaning/repair. REPEAT VIOLATION. Points reduced due to repair of items on previous inspection and repair schedule. |
|
2
|
2
|
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 build up on some ceiling tiles surrounding A/C vents. Observed stained ceiling tiles in 100 hallway. Observed door to bathroom in 107 and 410 damaged. Observed ceiling stained in room 202. Needs cleaning/repair. REPEAT VIOLATION. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
General Comment:
.1311 (b) Ventilation equipment shall be kept clean and in good repair.
Observed build up on A/C in 410 and 101. Needs cleaning. |
|
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 shower bed pad with heavy tearing in 100 spa. Observed tub in 100 spa with brown build up. Observed hoppers in biohazard rooms with heavy build up. Needs repair/replacement and cleaning. REPEAT VIOLATION. |
|
8
|
1
|
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 large rolling bins that contain soiled linen and trash stored in shared spa room. REPEAT VIOLATION. |
|
9
|
0.50
|
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 several urinals and bed pans not labeled in rooms within facility. REPEAT VIOLATION. |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
General Comment:
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair.
Observed pink build up in ice machine in 100 hallway. Needs cleaning. |
|
32
|
0
|
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 tears in pillows in 101.Needs replacement.
Observed Geri chair in 100 hallway in need of cleaning.
REPEAT VIOLATION. Points not increased due to improvements from last inspection. |
|
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 cleaning needed to 100 hall nourishment room refrigerator and 400 hall microwave. REPEAT VIOLATION. |