Hot water in some placed did not get up to 105*F, some areas were above 120*F then dropped down to 116*F. Hot water must be maintain between 105*F to 116*F.
All bedpans must be labeled for the client that is utilizing the pans. These cannot be swapped from one person to another if disposable. One bedpan was in a handsink in a clients room. Make sure used bedpans are handled correctly and are not rinsed or cleaned in a hand sink.
0.5
16.
Hot water in some parts of the buildings were above 116 degrees. Make sure to calibrate water temps on a regular basis so there is no scald risk. There are multiple water heaters being utilized. Some water temps were in the correct range of 105-116 degrees.
1.5
45.
Make sure all coolers in activity rooms have thermometers so that temp of cooler can be monitored. Hazardous foods must maintain 41 degrees F or lower at all times.
All disposable bedpans must be labeled with the individual patients names. All shared toilets and bedside commodes must be cleaned and disinfected between uses.
0.5
19.
All ice chest/coolers must be protected from contamination by patients or be dispensed through an automatic dispensing unit. coolers were left out in patient hallways.
1.0
33.
All the soiled linen carts in the hallways need to be relabeled. The labels have faded.
0.0
47.
Maintain all employee handsinks especially in soiled areas, so that they are accessible to encourage proper handwashing.
Bedpans, urinals, are in some cases being cleaned and disinfected in the patient shower rooms. This should only be done in the soiled utility room/hopper to reduce risk of contaminating patient contact areas.
Repair missing and damaged baseboard moldings in janitor closet where faucet was running.
0.0
5.
Detail clean a/c filters on a regular basis. Couple rooms had slight dust build up.
0.0
13.
Lower 100 hall, water in bathing room on was 117F and in various rooms supplied by this water heater 116.5F. Hot water cannot exceed 116F. Hot water temperature was lowered on water heater.
1.0
24.
One dead mouse seen in one storage closet. Monitor pest control activity regularly and clean up and dead carcasses.
0.0
28.
All storage in storage rooms must be off floor a minimum of 8 inches.
Ventilation filters in room 308 need to be cleaned of dust.
0.0
12.
Hand towels needed in bathroom for room 103
0.0
19.
Unattended ice carts were observed out on several halls. Ice in cooler could be accessed by patients at the facility. Store in an area not accessible to patients after use.
Some walls behind beds are in bad repair, continue repairs. Suggest a wall material that will not damage from beds hitting wall on a regular basis. Much improvement has been made in this area.
0.0
5.
Clean filters on heating and air units.
1.0
28.
Many boxes and clutter stacked on the floor or on wood crates in main storage room of facility. All patient items should be stored with a minimum of 8 inches air space below. Provide adequate shelving to store all items on to permit cleaning and prevent a pest harborage area.
Walls behind beds are in bad repair, continue repairs. Suggest a wall material that will not damage from beds hitting wall on a regular basis.
1.0
8.
Tub in the alzheimers care unit has mold/mildew around the bottom and side gasket, hair and debris from previous use. This tub must be visibly cleaned and disinfected between users. Provide a disinfecting solution in the shower room for use.
1.0
10.
Male and female urine collection contianers not labeled for the resident who uses it. All bedpans and urinals should be labeled for the person who uses it and not used by more than one person.
0.5
13.
Hot water on the right side of building is 99.5F-100.5F, left side of building is 115F-117F. The maximum hot water temperature must be in a range of 100F-116F, monitor the temps to ensure compliance.
0.0
18.
Many white water pitchers in rooms without any identification to the user of them. Label the disposable beverage pitchers to the person that uses them. Do not use for more than one person.
1.0
28.
Many boxes and clutter stacked on the floor or on wood crates in main storage room of facility. All patient items should be stored with a minimum of 8 inches air space below. Provide adequate shelving to store all items on to permit cleaning and prevent a pest harborage area.
Continue wall repair behind beds. Suggest a wall material that will not damage from beds hitting wall on a regular basis.
0.0
8.
Clean the shower heads in resident shower rooms to prevent a pink build up on them. The mats that are on carts for showering must be in good repair, replace torn mats. These must be disinfected between each use, there are still signs from previous days use on mats (hair, debris). Clean the floors around the toilets in resident restrooms, replace the old and stained caulk from base of toilets.
1.0
10.
Each bad pan or urinal must be labeled to the resident using it.
0.0
12.
Many lavatories in resident restrooms and shower rooms did not have paper towels. Provide paper towels at all handwash lavatories in the facility for drying hands after washing them.
1.5
13.
One resident room at front right of facility had a hot water temperature less than 100F. Adjust to provide all rooms with 100F-116F hot water.
0.0
28.
Many boxes and clutter stacked on the floor in main storage room of facility. All patient items should be stored with a minimum of 8 inches air space below. Provide adequate shelving to store all items on to permit cleaning and prevent a pest harborage area.
0.5
33.
Linen on resident beds must be changed when stained or soiled, some beds were made with soiled or dirty linens and pillow cases.
1.0
43.
Refrigerators in nourishment stations not keeping proper temperature of 45F or below. At the time of inspection, no potentially hazardous foods that require cold holding were in these refrigerators. Before placing foods that require specific temps. in them, adjust settings down and check for 45F or below.
