.1310) Walls in several rooms with damage, paint peeling or holes. Walls and ceilings shall be kept clean and in good repair. Repair these walls.
2.0
16.
.1313) Hot water in room 206 (101F) and 208(96F), and several 100 hall rooms with water below 105F. Hot water shall be between 105F and 116F. Laundry room handsink and one nursing home handsink with eyewash station attached to sink and water does not reach 105F. Recommend adding separate eyewash station not attached to handsink so sink can be provided with hot water at least 105F.
1.5
17.
.1313) Backup water supply plan has information on where water is received during emergency and some water on-site for use. Plan does not have information about notifying local health department in the event water is interrupted for more than 4 hours. The administrator shall immediately notify the licensing agency and the local health department that serves the county in which the institution is located if the institution`s primary water supply is interrupted for more than four consecutive hours. 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. Backup water supply plan template emailed during inspection. Please update records to include contacting local health department.
0.5
20.
.1314) Cart with igloo cooler holding ice with cups and ice scoop left unattended in hallway. Ice shall be protected, dispensed and kept clean and in good repair. Educated staff to keep cooler manned with employee during use, and if no longer being used cart needed to be locked in nursing station room. Ice shall be protected from contamination. Recommend adding ice machine with dispenser. Machine where ice is dispensed directly into cup limits the potential for contamination, vs a scoop and unlocked and unattended cooler with ice.
1.0
General Comments
Facility using individual applesauce cups for medicine carts and no liquid thicker drinks. EPA disinfectant for shower rooms EPA reg No 1677-272 has contact time for 10 seconds. Housekeeping stated it is left for 2 minutes when used.
.1310) Several places with wall damage throughout facility. Walls and ceilings shall be kept clean and in good repair. Several places where facility is repairing wall damage and has been repaired but not yet painted.
1.0
11.
No disinfectant in shared bath facilities. Mixing site where chemicals are dispensed located inside a janitorial closet but no bottles found in the closet. A supply of cleaning and disinfectant agents shall be accessible to bathing areas. Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. Please keep disinfectant readily accessible to use in shared bath rooms, and contact chemical supplier for chemical test strips to monitor levels of chemical concentration to ensure properly disinfecting.
1.0
20.
.1314) Cart with igloo cooler holding ice with cups and ice scoop left unattended in hallway. Ice shall be protected, dispensed and kept clean and in good repair. Educated staff to keep cooler manned with employee during use, and if no longer being used cart needed to be locked in nursing station room. Ice shall be protected from contamination.
1.0
40.
.1320) No hand soap at sink in nourishment area in nursing station. Any area where food is portioned, served or handled shall be equipped with a separate handwash lavatory with hot and cold mixing faucet, soap and individual towels or hand drying device. Soap provided at sink during inspection.
1.0
44.
.1323) Opened nourishment drink used on med cart for medicine on cart at room temperature (68-70F) These drinks state to refrigerate before use and maintain in refrigeration within 7 days of opening. Drink discarded and employees educated to keep these drink on ice bath or label to be used within 4 hours of opening.
Hot water in room 408 and room 214 at 118-122F hot water shall be between 110-116F. Hot water heater adjusted during inspection.
0.0
14.
No disinfectant readily available in bathing rooms. Multiple EPA registered disinfectants on site in storage rooms and Super Sani Cloths at nursing stations. Shared bathing equipment that has contact with patient`s skin shall be cleaned with detergent and an EPA registered hospital disinfectant between patient uses. Manufacturer`s instructions shall be followed for cleaning equipment with pumps. A supply of cleaning and disinfectant agents shall be accessible to bathing areas. Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. Please provide detergent and disinfectant in the spa/bathing rooms.
1.0
16.
Backup water plan states Sysco will not provide potable water needed for all-purpose uses. The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. Please provide a plan or keep enough water onsite for the other purposes than drinking water.
0.0
19.
Cart with igloo cooler holding ice with cups and ice scoop left unattended in hallway. Ice shall be protected, dispensed and kept clean and in good repair. Educated staff to keep cooler manned with employee during use, and if no longer being used cart needed to be locked in nursing station room. Ice shall be protected from contamination. Employee began using cart during inspection.
1.0
10.
Flush rimmed sink in soiled utility room is not functioning so bedpans may not be reused. Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. Facility uses plastic to cover bedpans and cover is discarded and bedpan is reused. EHS recommends to use disposable bedpans if not going to properly and disinfect.
1.0
3.
Water damaged ceiling tiles in several rooms throughout facility. Walls and ceilings shall be kept clean and in good repair.
1.0
2.
Floors in storage rooms need to be cleaned. Floors shall be kept clean.
1.0
30.
One medication cart with small sharps container stored on the top of the cart, not attached to the cart in any way. Sharps containers on medication carts shall be affixed or secured to prevent spillage.
0.0
34.
Service company report does not show that the laundry is being sanitized as required. Safety Data sheets shown during inspection. Report shall be provided that shows the bleach used in laundry facilities is being dispensed at least 50ppm during the cycles. Contact company to be sure laundry is being sanitized and ask for that to be added to the report.
1.0
42.
Milk in nursing station refrigerators in door at 48F. Nutritional shakes on carts above 45F. Potentially hazardous food shall be maintained at 45F or below, or consumed or discarded within 2 hours of being removed from temperature control. Nutritional shakes state once opened, shall be consumed within 4 hours or placed under refrigeration.
2.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
EPA disinfectants checked and contact time listed is 1 minute.
Cleaning needed on shower room floor and in resident rooms under furniture and in resident bathrooms.
1.0
3.
Repair and clean damaged walls and water damaged ceilings as needed throughout the facility.
1.0
10.
Bedpans must be labeled with the patient's name and date (may use room and bed number instead of name). Flush rimmed sink in soiled utility room is not functioning so bedpans may not be reused. Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use.
0.5
12.
Paper towels missing at handwash sink in clean linen room. Soap missing at handwash sink in soiled utility room. Keep all handwash sinks stocked with soap and towels at all times for proper handwashing.
1.5
24.
Two live cockroaches observed in facility (in salon, and in one patient room. Increase pest control measures.
1.5
28.
Storage areas need to be organized for easy cleaning and all patient care items are to be stored at least 8 inches above the floor.
0.0
30.
Some cleaning needed in drawers of med cart.
0.0
32.
Furniture needed cleaning and repair throughout the facility.
1.0
34.
Service company report does not show that the laundry is being sanitized as required. Contact company to be sure laundry is being sanitized and ask for that to be added to the report. Label soiled linen containers as 'soiled.'
0.0
40.
Foods in the nutrition kitchen refrigerators were not labeled. All foods brought in by residents and employees must be labeled with the resident/employee name and date.
0.5
42.
Nutritional shakes on med carts were above 45F. Use ice in chill pans to maintain temperature.
2.0
43.
One resident room had a refrigerator with potentially hazardous foods and did not have a thermometer. Provide an air temp thermometer for any refrigerator that holds potentially hazardous foods, including resident provided refrigerators.
.1310) Ceiling vents throughout facility dusty, particularly soiled vents in shower rooms. Ceiling near front lobby cracked and needs to be repaired. The walls and ceilings of all rooms and areas shall be kept clean and in good repair.
2.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Facility using Virex II disinfectant with 10 minute contact time.
Move cardboard dumpster so that it is on concrete.
Stained floor in some storage rooms and janitor closet. Clean floors.
1.0
3.
Wall damage in janitor closet with mop sink. Bathroom wall damage in room 317. Minimal wall damage in room 416. Wall damage in laundry room. Walls shall be clean and in good repair. Repair wall damage.
2.0
5.
HVAC units throughout facility coming off wall and need to be re-caulked.
1.0
8.
Toilet in shower room soiled. Toilet and bathing facilities shall be clean and in good repair.
0.0
12.
Broken soap dispenser at first med room and no paper towels in second med room checked. Lavatories shall have tempered water, soap and hand drying towels or device. Provide these items at all handsinks.
1.5
14.
No test strips available for disinfectant that comes from mop sink dispenser. Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit.
Comment: In janitors` closets and storage rooms throughout the facility, missing or damaged base coving was observed; repair or replace coving as needed.
0.0
2.
Cleaning is needed in the floors of all of the janitors` closets and maintenance storage rooms and in the closets in room 305.
1.0
3.
Moisture damage observed in the ceiling of the salon closet and room 201, any active leaks need to be located and repaired and the ceiling needs to be addressed. Continue repairing walls and ceilings affected by the recent leaks.
1.0
4.
Lighting levels found to be low in several areas. Resident toilet rooms found to have 6-8 fc of light. The biohazard rooms have 5-8 fc. The central bathing room on the 400 hall had 3-7 fc. All areas shall be provided with sufficient illumination to effectively perform all operations, including cleaning, and shall have at least 10 foot candles of light at 30 inches above the floor in all areas other than food service areas.
1.0
5.
Filters on resident room HVAC units are dusty. Room Ventilation equipment shall be maintained clean. The HVAC unit filters need more frequent cleaning. The HVAC unit cover in room 317 is loose, repair.
1.0
8.
The hot water handle on the therapy storage area restroom is worn, replace. The handsink in room 113 is draining very slowly and is very worn, repair or replace; also in room 113, the toilet chair is rusty, replace. The faucet in room 401 is dripping and loose, repair or replace. There is a leak under the sink in room 305, repair or replace. The toilet in room 310 is running, repair.
1.0
15.
Comment: In the janitors` closets, where chemical dispensers are hooked up to the sinks, the water must be turned off when the sinks are not in active use to prevent damage to the backflow preventer.
0.0
26.
Observed rodent droppings in the drawers and lower cabinet at the far right of the salon counter. Thorough cleaning out of the drawers and cabinet needed then continue to monitor the area and contact pest control if more droppings are observed. Insect larvae were observed in the bedpan flush basin in the 400 hall biohazard room. The basin needs thorough cleaning and should be cleaned more frequently, the basins have been disconnected from the plumbing system so they cannot be properly flushed or emptied; EHS recommends removal of the basins from the facility.
1.0
28.
The salon closet found to have storage on the floor; storage shall be raised off the floor or easily movable/on wheels for cleaning purposes. The sinks in the janitors` closets need to be cleaned.
0.5
33.
Comment: One of the pillows on the bed closest to the door in room 123 has some staining, the pillow needs to be cleaned or replaced.
0.0
General Comments
Comment: A few patient closets have storage on the floor that is not organized in a manner that is easily cleanable, recommend storing patient items in storage containers or other cleanable, easily moveable containers; cardboard boxes are not recommended as the are absorbent and can create pest harborage conditions.
Continue repairing walls and ceilings affected by the recent leaks, additionally, repairs are needed on the walls below the salon shampoo basins and in the 100 hall housekeeping closet ceiling.
1.0
4.
Several of the resident restrooms had fixtures with burned out light bulbs or generally insufficient lighting; this was mostly in the rooms with only an exhaust fan light. Lighting must be a minimum of 10 foot candles at 30 inches above the floor. Light fixtures may need to be changed out or added.
1.0
5.
Filters on resident room HVAC units need more frequent cleaning.
1.0
8.
The sink drain and faucet in room 302 is worn, repair or replace. The toilet chair in room 307 is worn and rusty, replace. The toilet bowl in room 210 is cracked, replace. The hot water connection in room 213 is leaking, repair. The sink in room 216 is draining very slowly, repair or replace. The sink in the 100 hall station 1 cleaning linen/utility room is dripping, repair. The 100 hall, station 1 nourishment room sink cabinet appears to have some moisture damage below the sink, check for any leaks and repair/replace as needed; also the hot water faucet handle on the sink is leaking, repair.
1.0
13.
Comment: The hot water was only reaching 95F at the sink in room 213.
0.0
19.
Comment: Ice is being stored in coolers in the nourishment rooms, the coolers are clean and in good repair, but the ice is coming into direct contact with the inside of the cooler; the material in the inside of the cooler is not intended for directly food/ice contact. A food grade plastic liner or containers should be used to protect the ice.
0.0
26.
Around the dumpster area and maintenance storage, there are old carts, construction materials, etc that need to be removed to prevent any pest harborage or breeding places. Some ants observed around the HVAC unit and handsink in room 213, check seals around the windows and HVAC units.
1.0
28.
Several storage closets found to have storage on the floor; storage shall be raised off the floor or easily movable/on wheels for cleaning purposes. The sinks in the janitors` closets need to be cleaned.
0.5
35.
Comment: The wall shelves in room 302 have some exposed raw wood, repair or replace shelves.
0.0
40.
Comment: Food found in the 400 hall, station 2 nourishment room refrigerator without a date. Food brought in by employees or visitors shall be properly identified and dated.
0.0
43.
Comment: Provide a thermometer in the 100 hall, station 1 nourishment room refrigerator.
Filters of a/c units in patient rooms dusty. These need to be thoroughly cleaned, more frequently.
1.0
8.
Rm 302 bathroom has strong urine smell and grout and floor around toilet badly stained. Toilet chair had fecal matter on it at time of inspection.Toilet facilities must be maintained clean and in good repair.
Bathroom in rm 312 has dirty shower floor, dirty, stained floor, cracked ceiling and missing covebase. This bathroom appears to be undergoing renovations, though patients are occupying room.
1.0
32.
One mattress found to have split seam. PIC and maintenance personnel informed.
0.0
34.
Chemical sanitizer used in laundry facility. Chemicals maintained by technician from Ecolab. Need to obtain verification from Ecolab that sanitization is occurring during wash cycles.
0.0
35.
Replace the shower seat with the torn foam topper in rm 214 . A torn foam topper cannot be cleaned or disinfected.
0.5
45.
Copies of vet records must be maintained on site for guinea pig and birds.
0.0
General Comments
Inspection made with Ginger Johnson 400 Hall under renovation so not in use at time of inspection.
The floors and walls in the mops sink closets need repair ( will be done as part of the renovation ).
0.0
3.
The facility is still undergoing renovations. Many areas do not have base coving, and walls are in different stages of completion. The hand rails along the walls are made of individual pieces that snap together. There are lots of small gaps between the pieces. This makes them not easily cleanable ( and a concern during flu season or illness outbreaks ).
0.0
8.
The nursing station 1 shared bath had been used, and pools of water were left on the floor. This poses a slip hazard as well as increases mold growth in the room. The shower walls have pink and black mold growth. Clean the bath thoroughly after each user. The same thing was noted on the previous inspection. Increase ventilation in the shared bathrooms as part of the renovation.
1.0
28.
Sweep the storage closets ( linen, supply closets ).
0.5
32.
The nursing stations are undergoing renovation. The cabinets in the nutrition station show heavy wear an should be replaced.
0.0
35.
Replace the shower bed with the torn foam topper in station 2 . A torn foam topper cannot be cleaned or disinfected.
Clean the floor under the chemical dispenser in the laundry room. A lot of the concentrate has leaked onto the floor and dried ( be sure to use proper protection while cleaning the chemicals ).
0.0
3.
The carpeted walls are not easily cleanable. Remove the remaining carpeted areas. Repair the moisture damaged walls in the laundry room, and replace missing and broken tiles. The hand rails along the walls are made of individual pieces that snap together. There are lots of small gaps between the pieces. This makes them not easily cleanable ( and a concern during flu season or illness outbreaks ). All these were mentioned on the previous inspection. The walls, corners, and doors have scratch marks and minor damage throughout the building. Make repairs as needed.
1.0
8.
The nursing station 1 shower had been cleaned, but pools of water were left on the floor. This poses a slip hazard as well as increases mold growth in the room. The shower walls have pink and black mold growth. Clean the bath thoroughly. The bathroom in 106 has a very, very strong odor. The faucet on the sink in the rehab room is corroded and needs to be replaced. The bathroom walls in 316, 303, and 116 have moisture damage. Repair moisture damaged walls as needed. Clean the showers in the rooms, even if they are not being used ( see 216, for example ).
1.0
10.
Found unlabeled personal care items in shared bathroom in 109. Unlabeled urinal in 106. Overall, the labeling of pans and urinals has improved. Keep working on separating personal care items.
0.5
19.
One ice cart was left unattended in the hallway. Keep ice carts at the nursing station unless someone is with them.
1.0
32.
The nursing station furniture shows signs of wear and tear like broken edges and broken laminate. The cabinets in the nutrition stations need repair. The faucet in nutrition station 2 is corroding.
1.0
35.
Replace the rusty toilet chair in the rehab room ( rusty surfaces can no longer be disinfected ). Replace any torn vinyl covered cushions ( blue, square cushions in the rooms ). Replace the torn arm rests on a chair in 303.
The carpeted walls are not easily cleanable. Remove them during the remodel. Repair the moisture damaged walls in the laundry room, and replace missing and broken tiles. The hand rails along the walls are made of individual pieces that snap together. There are lots of small gaps between the pieces. This makes them not easily cleanable ( and a concern during flu season or illness outbreaks ).
1.0
4.
Almost all of the bathrooms need additional lighting. During the remodel, make sure to install a minimum of 10 foot candles of lighting in all bathrooms( not only at the sink, but 10 foot candles anywhere in the room ). The same goes for storage areas.
1.0
8.
Replace the torn foam mat on the shower bed. Water can get inside the mat and cause mold growth and other contamination. Clean the bathroom in 302. Clean the shower chairs in 200 hall common bath ( dry yellow stains ). This bathroom also has a strong odor. The sink faucet in the rehab room is corroding. Replace the faucet.
1.0
10.
Urinals, bed pnas, and similar personal items need to be labeled with the patient`s name or room ID ( see room 214, for example ). Also label or separate personal items like tooth brushes, tooth paste, hair brushes in the bathrooms ( see room 107 for an example ). Some facilities use labeled baskets for a collection of small items.
0.5
14.
Note : Shared bathrooms need to be cleaned and disinfected after each user.
0.0
32.
The nursing station furniture shows signs of wear and tear. The cabinets in the nutrition stations need repair. Most of the doors are in bad shape, and the inside of the cabinets under the sinks has moisture damage.
1.0
General Comments
Note : The chemical dispenser on 300 hall is very cumbersome to use. Employees have to actually remove concentrate bottles and switch concentrate bottles every time they want to use the dispenser. This causes chemicals to get on hands and floors with every fill-up of bottles. I recommend the use of a dispenser with multiple chemical concentrate choices and a dial to choose a product.
GC # 34 : Label the doors to the laundry room as "clean" and "dirty" or something similar to indicate which door leads to which area. Personal clothing of individual patients needs to be washed separately. Shared items like sheets and towels can be washed together, since there will be laundry sanitizer used.
Replace the light bulb in the trash room. (It was replaced.)
1.0
8.
Almost all the showers in the resident rooms do not work. Repair leaky sinks. Fix the leaky mop sink faucet and clean the slim and mold off.
1.0
9.
There is storage in the activities rest room.
0.5
13.
There is no warm water in the hand sink in the laundry room.
1.0
15.
You need a anti-siphon vacuum breaker on the hose bibbs at the mop sink out behind the kitchen. It would be best to install a proper mixing faucet intended for an outdoor mop sink and one that will not freeze in winter. There are two vacuum breakers on one side and none on the side where the hose is located.
There are many storage rooms with obstacles in the way of cleaning. Shelving should be high enough to sweep and mop under without moving everything or the bottom shelf could be built like a proper cabinet base. Repair floor tiles in the community shower. Fix the shower clean-out where the wing nut is sticking up. Fix it so it is not a trip hazard and will not hurt someones foot.
1.0
3.
Properly repair the half wall in the small physical therapy room. Replace missing and damaged base cove. Clean the floor and walls in the closet in room 211. Replace damaged window blinds in room 211 and many other rooms. The shower room doors have been modified and there are exposed bolt ends.
1.0
8.
Almost all the showers in the resident rooms do not work. Repair leaky sink in community shower room. Many toilets are hissing and may need new flappers or flush valves. The soft mat on the shower bed in the community shower is worn and has cracks in the mat. Many of the upholstered shower seats in the residents bath rooms are damaged. The shower nozzle/ shower head is damaged in the community shower. The screws that hold the hand sink handles in place are missing in the activity room rest room. Replace the cracked toilet seat in room 107.
1.0
9.
There is storage in the activities rest room.
0.5
15.
(1)You need a anti-siphon vacuum breaker on the hose bibbs at the mop sink out behind the kitchen. It would be best to install a proper mixing faucet intended for an outdoor mop sink and one that will not freeze in winter. (2)Remove the sprayer that is tied directly to the plumbing at the toilet in room 107.
2.0
33.
All linen needs to be stored on shelves or racks, not on the floor.
1.0
43.
Thermometer needed in the refrigerator in the nourishment room near nurse station 1.
0.5
General Comments
Need some type of protective caps on bed legs in room 314 to avoid scratching floor tiles.
Repair damaged areas where wheel chairs hit the walls. Try using some type of guards like waynes coat etc if possible or FRP.
1.0
4.
Replace burnt out and dim light bulbs. The laundry needs more light. Some of the linen rooms were very dim.
1.0
9.
There is storage in the activities rest room.
0.5
15.
Fix the leak in the laundry room where the hose is laying in the waste trough and the hot is running non stop. You need a anti-siphon vacuum breaker on the hose bibbs if you put a hose on the bibb. Fix the drain in the central wash room that does not have a trap.
Regrout base tile in shower for community bathroom for 100/200 wing. Repair loose base tile in resident private bathrooms.
1.0
2.
Clean carpets around bird cages in chapel frequently. Bird seed, feathers, and droppings were on floor around cages. Clean floor in med room for 100/200 wing.
1.0
3.
Replace missing wall tile in laundry room and beauty parlor. Repair damaged wall area in soiled linen room. Repair ceiling leaks and water damaged ceiling areas in new physical therapy room and beauty parlor. Caulk and seal wall tile and counter edges in both med. rooms.
1.0
4.
Replace nonfunctional light bulbs and ballasts in both med. rooms.
1.0
5.
Clean top and side vents on all resident room H.V.A.C. units.
1.0
8.
Clean shower chair legs and seats thoroughly in both in both community hall bathrooms. Clean beneath pads on shower tables in hall bathrooms. Clean tub interior in 100/200 hall bathroom. Repair shower head and hose leaks in both community bathrooms. Replace missing shower controls in private resident showers. Ex: 100 and 200 halls. Clean shower curtains in resident private showers. Ex: 100/200 hall. Clean shower chair pads in private room showers. Replace split or torn shower chair pads in private resident showers.
1.0
12.
Paper towels were not accessible at handwash sinks in med room and nutritional supplement rooms for 300/400 hall.
1.5
28.
Items like packets of syringes were on floor in med. room for 300/400 hall. All client medical supplies must be stored or kept off the floor.
0.5
General Comments
Syringes for dispensing oral medication can not be saved for reuse on med. carts. Ex: Cart for 100/200 hall. Foods used to help dispense medication can not be left on med carts after completion of a round. Ex: Used apple sauce containers. Items like opened containers of apple sauce should be discarded immediately after med. cart rounds are complete to prevent reservice of a potentially contaminated product. Keep areas around handwash sinks in med. rooms clear so that the sinks are accessible for use. Keep these same med. room handwash sinks clear of debris or trash. Utensils used for cooking activities in physical therapy room kitchen should be washed, rinsed, and sanitized in main facility foodservice kitchen. Keep dry foods like flour, cookies, or crackers, that are used in the physical therapy room kitchen, stored in sealed containers after opening product packages. Repair slow draining hand wash sinks in resident rooms. Ex: Room 121. Keep single service utensils like paper cups or plastic forks/spoons stored in closed plastic bags/sleeves in nutritional storage rooms. Repair leak beneath refrigerator in nutritional storage room for 300/400 hall. Replace/discard all bed linens that have permanent stains.
Do not store items not related to bathroom use in resident and hall bathroom/shower rooms. Examples: Mattress and nebulizer in hall bathroom/shower room. Bed linen/blanket on wheelchair in resident private bathroom. Utensils like drinking glasses in resident bathrooms.
1.0
32.
Clean cabinet interiors in med. rooms. Repaint or stain interiors of same cabinets
1.0
35.
Keep toiletries for individuals who share the same restroom stored seperately to avoid confusion over use or possible cross contamination. Ex: Room 315. Recommend keeping individual toiletries in seperate labeled containers. Keep patient contact items stored above the floor. Ex: Adult diapers and clothing in resident closets.
1.0
40.
Verify that individual foods items in nutritional supplement and activity room coolers are properly labeled to show individual consuming product.
0.5
42.
Single service drinks that have been opened and used should not be replaced into group refrigerators. Ex: Opened soft drink cans, single service bottled drinks, and single service milk cartons. Opened containers can spill on to other product in coolers and cross contaminate food items.
2.0
General Comments
Clean whirlpool tubs and shower chairs and carts in group bathrooms. Verify that only chairs that are water proof are used in showers. Keep items like personal drinks of residents stored above the floor in rooms. Thermometers are required in resident room, activity room, and therapy room refrigerators. Clean sinks in beauty parlor. Repair room handwash sinks with partially clogged drains. Replace burned out bulbs in all room bed lamps. Seal holes in walls and floor drains in unused room showers. Repair hot water faucet handle on handwash sink in nurses station. Repair leaks on shower line in hall bathroom. Complete repair/repaint of ceiling supply room of nursing station. Replace linens like sheets that have permanent stains.
Complete repair of damaged or peeling wall and ceiling cover in resident rooms, showers, and bathrooms. Verify repair of all ceiling leaks. Repair water damaged wall in bathroom for room 317. Clean shower tile.
1.0
4.
Clean room H.V.A.C. unit vents and filters.
1.0
8.
Verify repair of nonfunctional handwash sink in main hall shower room.
1.0
13.
Repair running hot water temps. Hot water was at a temp. of 120 degrees F in some rooms. Temp. should not exceed 116 degrees F. Ex: Room 110.
1.0
28.
Verify that personal contact items like clothing, toiletries, and adult diapers are stored above the floor in room closets or stock rooms.
1.0
33.
Verify that personal towels and linens are removed for cleaning after use. Some used towels and wash cloths were left in private room showers.
1.0
35.
Verify that patient contact items in shared rooms are stored in clean locations and are labeled and kept seperate to avoid confusion over use. Ex: tooth brushes. Discard disposable razors after use by residents. Do not save these items for reuse.
1.0
General Comments
Inspection done in response to complaint call. Complainant stated buiding had a pest problem. No signs of pest infestation were found at time of inspection. Complainant also stated that communicable diseases were a problem. No signs of outbreak were present in facility. Continue to have residents wash their hands frequently to prevent potential transfer of germs and bacteria.
