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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 |
REPEAT
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. Observed bathroom floor peeling/damaging in room 312, Observed back up drain from freezer in kitchen's floor need repair. Point remain the same at this time. |
|
2
|
2
|
Walls and ceilings clean, good repair |
No |
No
|
No |
REPEAT
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed damaged walls in residents room by headboards throughout, wall next to shower in 305. Observed hand sink and wall separation in spa room 100 hall, laundry room, restroom near gym1/100 hall, 707, 312. Observed damaged ceiling and disrepair paint in back service hall. Observed dust cover restroom vents throughout need cleaning. Checking for leaks on the roof and ceiling, repair, replace as necessary. Keep clean and good repair. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
General Comment:
.1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed wheelchairs, pillows stored in the spa rooms. ONLY bathroom related items are allowed in the spa room. |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
General Comment:
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident.- Observed individual urinal in couple restrooms without labeling. |
|
10
|
1.50
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
REPEAT
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels and/or soap available at hand sink in clean linen room Copper Ridge and Hunting Brooke station, 300 hall Spa room, medical supply room, 700 hall Spa, soiled utility room and restroom in Hunting Brooke hall. Ensure to provide all hand washing supplies at all hand sinks at all time.
NOTE:
***Do NOT block the pathway to hand sinks for hand washing at anytime anywhere in the facility.*** |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
REPEAT
.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. Observed hot water throughout the facility measured between 119F to 123F. Provide tempered water between 105-116F at any times. |
|
17
|
0.50
|
Back-up water supply plan available and complete |
No |
No
|
No |
REPEAT
.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.- Observed the facility has incomplete written plan. The facility shall put the plan together and have a complete plan available upon request. |
|
28
|
0
|
No pest presence; effective pest control measures |
No |
No
|
No |
General Comment:
.1317 (a) Pests shall not be present in an institution's building or buildings.- Observed drain flies in the kitchen. |
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