| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
Observed cracked tile on floor in environmental room (east). Observed floor in the restroom in need of repair in room 204.
**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
|
2
|
Walls and ceilings clean, good repair |
No |
No
|
No |
Observed wall damage in room 106. Observed touch up paint needed on baseboards leading to laundry room. Continue to touch up paint throughout facility. Observed splatters on walls in restrooms in room 104
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. |
|
3
|
0
|
Ceiling attachments cleanable, clean, good repair |
No |
No
|
No |
Observed dead insects in the light shield in the restroom in room 204. Needs to be cleaned.
**.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. |
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
Observed broken vent in room 106, 204 and 224.
**.1311 (b) Ventilation equipment shall be kept clean and in good repair. |
|
7
|
2
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
Observed toilet in need of cleaning in room 106, 104, bathing suite (east), 126, and 204. Observed shower beds in need of cleaning in bathing suites (east and west) and observed shower bed torn in bathing suite (west). Observed handwashing sink in need of cleaning in the laundry 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. |
|
9
|
1
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
Observed bedside commode in need of cleaning in room 204.
**.1312 (c) Bedpans, bedside commodes, urinals, shared diaper changing surfaces, and emesis basins that have been used by a resident shall be kept clean and shall be disinfected before use by other residents.
Observed disposable urinals not labeled throughout the facility.
**.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 medication room missing paper towels. Needs to be provided.
**.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. |
|
17
|
0
|
Back-up water supply plan available and complete |
No |
No
|
No |
Observed no back up water supply plan on hand during the inspection.
**.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. |
|
18
|
0
|
Drinking fountains clean, good repair |
No |
No
|
No |
Observed rusted drinking fountain in physical therapy.
**.1314 (a) Drinking fountains shall be kept clean and in good repair. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
Observed wheelchair arms torn in the physical therapy. Staff informed me that the chairs are not currently being used and would be repaired. Observed torn pillow in room 104.
**.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. |