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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
Observed laundry room floor in need of repair. Observed floor in the restroom in B30 with strong odor.
**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. |
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
Observed ceiling near room A23 in need of repair. Observed shower room on A Hall in need of touch up paint. Observed wall damage near the toilet in room A13.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. |
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
Observed build up on vent cover in the restroom in rooms A13 and B26.
**.1311 (b) Ventilation equipment shall be kept clean and in good repair. |
|
9
|
0.50
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
Observed urinal not labeled in rooms A28 and B50.
**.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. |
|
12
|
1.50
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
Observed tub faucet cover missing in room A38. Observed tub faucet missing and toilet in need of cleaning in room A28. Observed shower curtain staining in room A13. Observed tub staining in room B30.
**.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
Observed hot water range between 118-119F.
**.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. |
|
17
|
1
|
Back-up water supply plan available and complete |
No |
No
|
No |
Observed no back-up water supply plan.
**.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. |
|
32
|
1
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
Observed dresser handle missing/in need of repair in rooms A38, A28, A13, B26 and B50.
**.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. |
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