Linoleum tile in one bathroom in bad repair. A few small holes/areas in wall in bad repair.
0.0
16.
Hot water in right hallway at 118F. Hot water in middle hallway at 122F. Hot water should be at 105-116F.
1.5
17.
Only had eight gallons of back up water which would work for about 30 residents. Have 37 residents at this time. Director stated ordering more water. Should have two liters of water pre resident per day.
0.5
37.
One wheel chair with rip were stuffing coming out. Should be in good repair so can be properly cleaned and sanitized. Director stated it was the residents personal wheel chair and would not be used anymore.
Some shower seats and toilet chairs dirty. Should be clean and disinfected between residents.
0.5
12.
A few shower heads with pink buildup on them. Clean so does not have buildup.
0.0
16.
In middle hall at the front hot water would only go to 74F. In back area hot water would go up to 122F. In left hall hot water at 118F in a few rooms. Hot water should be at 105-116F.
Wall damage throughout needs to be repaired/repainted where there are bumps and scuffs from furniture and wheel chairs.
1.0
28.
All storage must be 8" off the floor to facilitate cleaning. Diapers stored on the floor on pallets in the storage rooms.
0.0
32.
Sofa in the main hall is in need of extraction cleaning where there is visible soil/staining.
1.0
35.
one bed side commode in the back bathroom has a crack in the bowl. Replace this item and ensure all patient contact items are in good repair and can be cleaned and sanitized/disinfected.
0.0
General Comments
hot water was 100-116f in all bathrooms. check temperatures regularly and maintain this range.
Wall damage throughout needs to be repaired/repainted where there are bumps and scuffs from furniture and wheel chairs.
0.0
10.
Bedside commodes/potty chairs being used in the shower rooms had visible soil. These items must be cleaned and disinfected after use between patients when used by multiple patients. Potty chairs in the patient rooms that are shared must be disinfected between uses. Shower benched and stools used by multiple patients in shared rooms must be disinfected between patients with an EPA disinfectant. The disinfectant in the facility has a 10 minute contact time. potty seats with broken buckets and lids should be replaced so that they are easily cleaned.
1.0
13.
Bathroom on the first hall to the left, hot water only reached 95F. All hot water must be maintained between 100-116F.
1.0
28.
All storage must be 8" off the floor to facilitate cleaning. Diapers stored on the floor of the storage rooms.
0.0
32.
Damaged and worn cushions on multiple chairs in the common areas. Replace any damaged furniture or cushions. Some staining visible and need cleaning.
2.0
35.
Shower curtains need to be replaced that are torn and the bottoms cleaned where there is either mold or human waste. Shower benches in the shower rooms have mold underneath and some had human waste. All these areas need to be properly cleaned and disinfected after being contaminated by waste.
1.0
General Comments
email a copy of the emergency water supply plan to the environmental health office as soon as possible.
Floor in restroom of room 213 has bowing from water damage. Repair or replace the flooring and maintain in good repair.
0.0
10.
Bedside commodes/potty chairs being used in the shower rooms had visible soil. These items must be cleaned and disinfected after use between patients when used by multiple patients. Potty chairs in the patient rooms that are shared must be disinfected between uses. Shower benched and stools used by multiple patients in shared rooms must be disinfected between patients with an EPA disinfectant. The disinfectant in the facility has a 10 minute contact time.
0.5
12.
All hand washing lavatories need soap and paper towels and all toilets need a supply of toilet paper.
1.5
13.
Hot water in the shower rooms on the C wing with water temperatures of 122F. All hot water must be maintained between 100 and 116F.
1.0
32.
Damaged and worn cushions on multiple chairs in the common areas. Replace any damaged furniture or cushions. Some staining visible and need cleaning.
1.0
35.
Shower curtains need to be replaced that are torn and the bottoms cleaned where there is either mold or human waste. Shower benches in the shower rooms have mold underneath and some had human waste. The toilet in the mens shower room had human waste along as the wall by the toilet. All these areas need to be properly cleaned and disinfected after being contaminated by waste.
Clean ventilation vents in the restrooms and the filters on the HVAC units.
0.0
8.
The toilet in room 106 is clogged and is not flushing and the first sink in the community restroom in the 200 hall is also clogged. maintain all toilet facilities in good repair.
1.0
9.
tv tray stored in the mens community shower room on top of the bedside commode. the tv tray is broken. Remove any broken furniture and do not store any furniture items in the shower rooms.
0.0
10.
Bedside commodes/potty chairs being used in the shower rooms had visible soil. These items must be cleaned and disinfected after use between patients when used by multiple patients. Potty chairs in the patient rooms that are shared must be disinfected between uses. Shower benched and stools used by multiple patients in shared rooms must be disinfected between patients with an EPA disinfectant. The disinfectant in the facility has a 10 minute contact time.
0.5
13.
Hot water in multiple rooms including room 113 and one bathroom sink in the 100 hall had temperatures of less than 100*F. Maintain hot water temperatures at 100*F. Repeat.
1.0
32.
Damaged and worn cushions on multiple chairs in the common areas. Replace any damaged furniture or cushions. Some staining visible and need cleaning.
Floors need to be kept clean. Some rooms have dust and debris around beds. The sitting area beside dinning area had dust and debris on the floor. Floor in bathroom 304 needs to be refinished and a work order has been placed. Floor in laundry room is missing a large tile and needs to be replaced.
1.0
3.
Some walls were scrapped and chipped in rooms. Maintain walls throughout facility.
1.0
5.
One hot/cold ventilation unit at the end of the hall had dirty filters. Clean filters.
0.0
8.
The toilet in room 215 is not flushing. Keep toilets functioning.
1.0
13.
The bathroom in the 200 hall of the shower room is not reaching a temperature of 100 degrees F. Maintain a temperature of 100 degrees F.
0.0
16.
The backup water plan was not found due to being locked up in office. The backup water supply plan shall include a plan for either relocation residents or providing an alternative source of water for essential functions. Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. Two liters of water per day per person shall be provided which was not in stock at facility.
0.0
32.
One chair in the sitting room across from the dinning room was missing a cushion.
0.0
33.
Several rooms had stains on the linen sheets and some with debris. Change as needed and replace after badly stained or damaged.
Room 203 textured ceiling is peeling off from prior roof leak. Room 103 has peeling paint on textured ceiling and peeling paint on the cinderblock wall. Repair and repaint. Room 105 has a crack in several mortar joints in the cinderblock. Caulk the cracks in the wall. Wood floor is separated in one area in room 304. Caulking needed between wall tile and floor in the women's C Hall bath where toilet is located. Instsall handrail in the C Hall and repaint the wall in this area.
1.0
24.
Room 211 has one dead bed bug on the floor. Two dead bed bugs along the wall in room 208. Clean the plastic corner pieces on mattresses in several room of bed bug fecal matter. Room 106 has one dead bed bug on the floor. Bed bug fecal matter on the headboard in room 106.
Walls in some of the patients rooms have damage and need repair and painting. Some of the doors to patient rooms are damaged and need repair and painting.
1.0
35.
White shower chair in one bath is cracked. Chair has been replaced with a new one that now is also cracked. Remove white chair and replace the new that has also cracked. Cracked chairs cannot be easily cleaned.
0.5
General Comments
5. Clean ventilation filters in some of the rooms. none of the filters have any heavy dust.
Paint and repair walls where necessary; especially in hall areas. Some repair to doors in patient rooms.
1.0
5.
Clean dusty heating/air vents and filters where necessary especially in client rooms.
1.0
35.
One shower chair in one shower room was in bad repair. All patient contact items should be clean and in good repair. Items cannot be properly cleaned and disinfected if they have cracks or damage.
