| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
Observed floor in need of cleaning in room 302, 304 (restroom), 308. Observed tile missing in spa (2nd floor). Observed floor in room 116 in need of cleaning, strong urine 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 wall damage in room 302, 308, nourishment room (2nd floor) and above exit. Observed baseboard damaged in the nourishment room (1st floor). Observed ceiling damage in the nourishment room (2nd floor). Observed paint peeling in laundry room and the stairwell.
**.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
|
Ventilation equipment clean, good repair |
No |
No
|
No |
Observed vent cover missing in storage closet on the 3rd floor. Needs to be replaced.
**.1311 (b) Ventilation equipment shall be kept clean and in good repair. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
Observed toilet in need of cleaning in rooms 302 and 304. Observed toilet loose in room 308.
**.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. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
Observed no handwash sign in the restroom on 1st floor.
**.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
Observed urinal in need of labeling in room 200 and 201.
**.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
Observed soap and paper towels missing in the med room on the 2nd floor.
**.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. |
|
12
|
1.50
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
Observed bathing chair and shower beds in need of cleaning in spa (3rd, 2nd and 1st floor).
**.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. |
|
17
|
0
|
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
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
Observed pillow damage in rooms 302, 304, 308, 200 and physical therapy. Observed curtain divider torn in rooms 302 and stained in room 304. Observed mattress peeling in room and peeling staining in 308. Observed countertop in need of repair in nourishment room (1st).
**.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. |
|
33
|
0
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
Observed linen stained in room 200.
**.1319 (b) A resident's bed linens shall be changed when no longer clean.
Observed linen torn in room 201 and 308.
**.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
Observed microwave in need of cleaning in nourishment room (1st).
**.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. |
|
40
|
1
|
Handwash lavatory provided and properly equipped |
No |
No
|
No |
Observed no soap at the handwashing sink in nourishment room (1st and 2nd).
**.1320 (c) Any area where food is portioned, served, or handled shall be equipped with a handwashing facility with a hot and cold mixing faucet, soap, and single-use towels or a hand-drying device. |