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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 |
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1
|
1
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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 dust/debris on flooring and underneath the beds, behind furniture in C207, A108, D101, D112, D214, D211, A212. Keep all floors clean and keep clean. Point remain the same due to improvement. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.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.- Observed slow drainage at hand sink second floor hallway restroom, B hall-med room, and A108. Observed soiled toilet in D214, D101, A108. Loose toilet seat in A 113. Soiled hopper and hand sinks in utility room. Clean/Repair/replace needed. 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, walkers, crutches, maintenance carts stored in spa room. Only bath related items in bathrooms/spa rooms. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
General Comment REPEAT
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no soap available at hand sink in soiled utility room. Ensure to provide all hand washing supplies at all hand sinks at all times. No point due to improvement. |
|
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 temperature at some part of the facility measured at 117F- 118F. D 101, D112, C 207, B hall restrooms, activity room. The facility shall provide water temperature between the range of 105F - 116F. Points remain the same due to improvement. |
|
18
|
1
|
Drinking fountains clean, good repair |
No |
No
|
No |
REPEAT
.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountain in therapy room all around basin, spout, and drain. Detail cleaning needed. Keep clean. |
|
23
|
0.50
|
Solid waste containers properly constructed, covered where required; good repair |
No |
No
|
No |
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use.- Observed one of the dumpster is missing a drain plug. Obtain a drain plug and put in place. |
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