Walls in the PT room (as you enter to the right) is in bad repair. The floor in the front nutrition station is torn and pitted. The floor tiles in front of toilets throughout the facility are stained. Repair all damaged walls and floors. If the floor tiles in restrooms cannot be cleaned then they need to be replaced.
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5.
Clean the filters on the ventilation units in the resident rooms on the 100 Hall and the 400 Hall.
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8.
The new shower mat in the 400 hall is starting to tear around the head portion of mat. Replace when inside foam material can be seen.
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12.
Make sure all lavatories have paper towels (400 wing nourishment station).
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32.
Mat on the table in the PT department is starting to wear on the edge and needs to be replaced once it is exposing the inside material.
Walls in the PT room have damage from wheel chairs. Repair all damaged areas in this room.
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8.
On the 400 hall shower room, the mat on the gurney that is used for showering is torn and the inside material is exposed. This mat needs to be replaced immediately with one in good repair.
Carpet in the front lobby and resident room with carpet showed stains and wear. If unable to visibly clean then replace.
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10.
Multiple bed pans in rooms without labels for the user. Bed pans are being emptied in the resident room toilets and rinsed in the room sinks. Where bedpans are cleaned in patient rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. Since they are not provided for each room, bedpans shall be taken to a soiled utility room for cleaning. Each bedpan should be labeled for the resident who uses it and stored in a protected manner (plastic bag) where they are not touching.
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32.
Couch in the living area on the 400 hall is stained. Extraction clean to remove or replace if unable to.
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35.
In the main supply closet, patient items are being stored directly on the floor or on shelf that is directly on the floor. Install shelving that is a minimum of 8 inches above the floor and use to store all items on.
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42.
In the nutrition station on the 400 hallway, the refrigerator is holding items at 54F. Unit must be able to hold all foods and beverages at or below 45F. Discard all items in the refrigerator and repair.
The air filters in the ventilation units in rooms were in need of cleaning. Clean regularly to prevent dust accumulation. The vents in the bathroom were rusted and need to be refinished/replaced.
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10.
When asked how bedpans are cleaned, the nurse said they are cleaned in the shower of the room and disinfected as well as the shower. Where bedpans are cleaned in patient rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. Since they are not provided for each room, 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
13.
A hand sink in the shower room has a valve broken which is not providing hot water. Repair the sink to provided hot water from 100 to 116 degrees F.
HVAC vent filters need to be cleaned to remove the dust build up. Memory lane rooms seem to have the most build up.
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18.
label drink pitchers w/residents name or other means of identification.
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32.
Chairs in the Memory Lane dining room have heavy stains on them. If unable to remove w/extraction cleaning, then suggest replacing with a vinyl or other washable material.
In several of the patient rooms, the walls around furniture/beds were damaged. Repair all damaged areas. In the Memory Lane shower room, the tile shower wall is completely knocked in. Repair this area immediately.
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5.
All ventilation filters were cleaned with the exception of one wing. Continue to clean all filters on a regular basis to prevent a build up, starting with the last wing inspected.
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8.
Many rooms had rusty sinks and slow drains. If unable to clean the rust from sinks then it is suggested to replace. Repair all sinks that are pulling away from the wall. Reseal sinks to wall and repair slow drains.
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18.
In rooms with multiple patients, label the beverage containers that facility provides.
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32.
In the Memory Lane unit living room, almost all of the chairs have stains and wet spots. This furniture is absorbing urine on a regular bases and unable to be cleaned. Chairs need to be replaced with furniture that is made with a washable material (vinyl, plastic, etc.). Replace all pillows with torn covers and mattresses with torn vinyl.
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40.
In the Memory Lane Unit, make sure all food from patients or staff is labeled and covered.
In the patient room HVAC units, clean filters often to remove and prevent dust build up.
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10.
Label urinals to identify resident who uses it (name or bed/room number)
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11.
Water from handsink in Nutrition Station was used to fill a residents water pitcher. Handsinks are for handwashing only, water cannot be used or served for consumption.
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28.
In all storage areas, there must be 8 inches of clear space below bottom rack and floor. This is to permit cleaning and prevent harborage areas.
Repair all broken tiles in rest & bathing rooms. Repair walls where sheet-rock is in bad repair. Repair or replace doors where holes and deep nicks are in the doors. Repair all corners where sheetrock is peeling and cracking off. Reattach all wall covering that is peeling off. Repair/reattach wall to floor molding that is falling or coming loose.
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5.
Make sure all filters and vents in rooms are cleaned regularly so dust build up does not occur.
Repair all broken tile in rest & bathing rooms. Repair walls where sheet-rock is in bad repair. Repair or replace doors where holes and deep nicks are in the doors. Ceiling in main hall way has visible signs of a water leak.
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9.
400 hall has storage of toys and videos in the bathing room. Remove all toys and other things from the bathing room. Only toilet paper, paper towels, soap and bathing supplies are allowed in bathing room.
0.5
30.
Two medication carts were not locked during the inspection. When the nurse walks away the cart must be locked at all times.
1.0
35.
Some linens, pillows are worn and need to be replaced. As pillows are torn and sheets are picked they need to be replaced so that larger holes do not appear.
Repair all broken tile in rest & bathing rooms. Repair walls where sheet-rock is in bad repair. Repair or replace doors where holes and deep nicks are in the doors.
2.0
5.
Filters to the vents need cleaning.
1.0
9.
400 hall has storage of toys in the bathing room. Remove all toys and other things from the bathing room. Only toilet paper, paper towels, soap and bathing supplies are allowed in bathing room.
0.5
35.
Some linens, pillows are worn and need to be replaced. As pillows are torn and sheets are picked they need to be replaced so that larger holes do not appear.
