Maternity ward, 1st floor and 4th floor all had refrigeration holding foods above 41*F. All cold foods must be held at 41*F or below. Thermostats were turned to keep foods colder.
One bathroom had wall damage were looks a soap dispenser was ripped of the wall were could be sheet rock. Cardiac floor has ceiling tiles with water damage. Repair damage.
1.0
4.
Two bathrooms had lights out. Should have proper lighting.
0.0
16.
Hot water on level 3 hall B was at 117F. Hot water should be at 105-116F.
0.0
44.
Cardiac floor had one refrigerator holding soda drinks and juice at 50F and another refrigerator holding milk at 45F. All cold hold of potentially hazardous foods must be at 41F or below. Do not use fridge at 50F for potentially hazardous foods until holding at 41F or below.
In the Women's pavilion, a few of the shower curtains had pink and/or black build up on the bottom portion. Remove all shower curtains that are in this condition. Suggest using a shower curtain that is made of a easily washable material and nonabsorbent.
0.0
35.
Several of the stretchers in day surgery, other day procedure lab areas and patient rooms had tears in the bed cover exposing the inside material. All mattresses should be easily cleanable and damaged covers prevents adequate disinfection. In several areas, linens had holes or stains. Remove all linens that are stained or damaged.
The mental health area is due for a remodel to repair damaged corners, walls, old stained doors and restroom walls.
0.0
32.
Several of the couches in mental health appear to have stains. If unable to clean then replacement is recommended.
0.0
35.
The majority of blue linens on stretchers and patient transport beds had holes, stains or a sticky substance on them. Any linen that is in bad repair or has a stain does not need to be used.
0.5
42.
On the fourth floor (hall C), the refrigerator in the nutrition station was holding milk at 49.5 F. Milk was disposed of. Unit cannot be used to hold potentially hazardous foods in until repaired and holding foods at or below 45F.
Refrigerators in nutrition units must be able to hold all product 45F or below. Monitor units after stocking with warm drinks to make sure it can recover quickly to 45F or below.
Walls in rooms behind mobile beds (ER, labs, etc.) had damaged areas. Repair all walls that are in bad repair. Suggest installing a sturdy wall cover in this area (FRP, plexi glass, etc).
1.0
24.
If the windows in patient rooms are able to be opened, then there needs to be a means of preventing flies, and other vermin from entry. Suggest screens, air currents, etc.
0.0
35.
Sheets on patient beds had thin areas and holes. Replace all sheets that are in bad repair. Suggest training staff to monitor for torn linens and discard as necessary
Sheets on patient beds had thin areas and holes. Replace all sheets that are in bad repair. Suggest training staff to monitor for torn linens and discard as necessary.
1.0
28.
Provide shelving in the pharmacy to keep all items stored above floor.
0.0
13.
Hot water in the pharmacy and in the Operating Department was ~95F. Hot water in all areas must be provided in a range of 100F-116F.
Hot water is at the maximum temperature it can be in patient rooms, some areas had 117F. Make sure it can stay in a range of 100F-116F.
0.0
28.
Boxes of medical supplies are being stored on pallets, boxes stored on racks that are directly on the floor, boxes stored directly on the floor in storage rooms. In all storage rooms and other areas of the hospital, provide storage shelving that keeps items a minimum of 8 inches above the floor. This will permit easy cleaning and prevent harborage areas. If wood is going to be used as shelving, it must be painted or sealed.
0.5
32.
Mattress in several patient rooms were torn exposing the inside material. Replace or repair all worn or damaged mattresses.
1.0
35.
Sheets on patient beds had thin areas, holes or stains. Replace all sheets that are in bad repair. Suggest training staff to monitor for torn linens and discard as necessary.
Radiation department has spots on the floor that are in bad repair. Some spots on the wall is chipped and dented. Baseboard on 2 East is in bad repair.
1.0
35.
Some sheets on new wing were thin and starting to tear
0.5
42.
Coffee and condiments were stored below hand sink on 4th floor (new wing), remove all storage from below any sinks.
