| 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 drain cover missing in shower room on 2nd floor.
**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 rooms 106, 215, 304 and 311, activity room on 2nd floor, restroom on 2nd floor. Observed water stained ceiling tiles in restroom on 2nd floor, shower rooms on 1st and 2nd floor and linen closet on the 3rd 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. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
Observed dust build on vent covers in rooms 104 and 203.
**.1311 (b) Ventilation equipment shall be kept clean and in good repair. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
Observed slow drain in restroom in physical therapy and 304. Observed handwashing sink in need of repair in rooms 211, 203 and in restroom on 2nd floor. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
Observed chairs stored in shower room on 2nd floor.
**.1312 (b) Bathrooms shall not be used for storage of items not currently in use.
Observed no hand wash sign posted in 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. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
Observed sink in laundry room missing paper towels.
**.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. |
|
12
|
3
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
Observed build up on shower bed/chairs in shower rooms on 1st and 3rd. Observed shower head in need of repair in shower room 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. |
|
17
|
0
|
Back-up water supply plan available and complete |
No |
No
|
No |
Observed incomplete back up water supply plan. Spoke with maintenance during the inspection and informed him how the plan should be structured.
**.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 mattress surface peeling in rooms 203 and 311. Observed torn pillows in room 203. Observed dresser in need of repair in rooms 304.
**.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. |