| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
Observed floor in need of cleaning in room 303, 307, 321 and 209.
**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 in need of repair in room 303, 318, 321 and 209 and living room on 2nd floor. Observed water stained ceiling tile in the dining room on 3rd floor. Observed rusted ceiling tile in the shower room on 2nd floor and bathroom ceiling in rehab. Observed shower grout in need of cleaning in shower room on 2nd floor.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, 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 room 303. Observed sink in need of repair in room 307. Observed toilet seat missing in shower room.
**.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. |
|
10
|
1.50
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
Observed soap missing in nourishment rooms.
**.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 shower bed and shower chair in need of cleaning in shower room on 3rd floor. Observed shower chair in need of cleaning on 2nd 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. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
Observed hot water reach 120F in bathroom on 3rd floor, 122F in room 321, 120F in shower room and 122F in room 209.
**.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. |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
Observed screws rusting in ice machine and dripping into ice.
**.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. |
|
32
|
0
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
Observed bed rail and divider curtain stained in room 303. Observed window shade stained in room 321.
**.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 321.
**.1319 (b) A resident's bed linens shall be changed when no longer clean. |