Repeat; Carpets in hallways and some resident rooms in need of cleaning, visible stains throughout. Floors and carpets shall be kept clean.
1.0
7.
Toilet seat/cover on first floor was heavily soiled and open to be used. Toilet and bathing facilities shall be clean and in good repair.
1.0
8.
Repeat; Handwashing sign is missing in laundry room. 3rd floor bathtigue is full of patient item storage Several items stored inside the bathtub or on the floor. This is a repeat violation.
1.0
28.
Flies/gnats were in first floor restroom upon EHS entrance. Ensure the premises is maintained free of pests.
0.5
32.
Shower seat cushion in room 189 has tear. Rooms 214 and 314 have pink residue buildup on showerheads. Room 216 has debris/soil on shower floor. Furnishings shall be maintained clean and in good repair.
1.0
33.
Linen in room 189 was soiled and needs to be changed. Linen shall be clean and changed when soiled.
Carpets in hallways in need of cleaning, visible stains throughout.
0.0
2.
Repair walls as needed throughout the building. Wall damage observed in memory care public restroom, 3rd floor public restroom, and common areas. Long ceiling crack inside room 328. Staining on a few ceiling tiles.
1.0
8.
Handwashing signs missing from soiled linen/laundry rooms. 3rd floor bathtigue is full of patient item storage Several items stored inside the bathtub or on the floor. This is a repeat violation.
1.0
10.
Hand soap missing from room 320, and in 3rd floor soiled linen/laundry.
1.5
16.
Water temperatures below 105F in 3rd floor public bathroom and room 320. Temperatures above 116F in rooms 328, 2nd floor common area, and room 251. Temperatures fluctuate between bathroom sinks and in room kitchen sinks. Tempered water shall be between 105F and 116F.
1.5
25.
Several wooden pallets stored near dumpster enclosure and a wheelchair/old metal piping stored inside dumpster enclosure.
0.0
32.
Soiled and damaged cabinetry in 3rd floor common area. Badly peeling cabinets inside memory care service area. Beauty salon chairs with peeling leather. Scratches on several pieces of wooden furniture throughout facility.
1.0
43.
Community kitchen refrigerator has unlabeled foods. Foods brought in by residents or employees and placed in shared refrigerators must be labeled with date and resident/employee name.
Carpets needed cleaning in rooms 172, 352 and in second floor hallway.
1.0
3.
Repair walls as needed throughout the building. Wall damage observed outside of room 183, in memory care public restroom, in room 172, and in hallways and memory care community room.
1.0
8.
Toilets and/or toilet seats need cleaning in bathrooms in rooms 233 and 334. Replace rusting toilet seats in memory care public bathroom and room 172. Repair damaged shampoo chair in salon. Replace missing vanity door in 233 bathroom. Cleaning needed on cabinetry in salon. Showerheads need cleaning in rooms 172 and 356.
1.0
9.
Remove storage from the third floor bathtique.
0.5
16.
Back up water supply contract is more than one year old (5/20/2021). Please provide an updated contract yearly.
0.0
40.
Community kitchen refrigerator on the 3rd floor had unlabeled foods. Foods brought in by residents or employees and placed in shared refrigerators must be labeled with date and resident/employee name.
0.5
42.
Resident refrigerators holding potentially hazardous foods were above 45F (room 334-50F, room 316-47F, room 356-49F). All potentially hazardous foods must be stored at 45F or below (recommended at 41F or below). Mini fridges were adjusted down and housekeepers were advised to start monitoring temps to ensure foods are held properly.
Cracked concrete flooring in the threshold of supply closet on floor 3. (.1309) All floors shall be smooth, and easy to clean.
0.0
3.
Wall damage inside small laundry room on floor 3, peeling wall paper in halls on floor 3. Damage and debris on walls in medical room on the 3rd floor. Damaged door frame in facility bathroom room on 2nd floor. (.1310) Walls and ceilings of all rooms and areas shall be in good repair.
1.0
8.
Toilet in medical room on floor 2 had a strong odor and black growth inside the basin. Toilet in need of repair. Toilets in a few patient rooms needed thorough cleaning. (.1312 A) Toilets shall be in good repair and clean.
1.0
9.
Toilet rooms in medical rooms on floors 3 and 2 being used for storage. (.1312 B) Toilet rooms shall not be used for storage.
0.5
13.
Water temperature reaching 120-124F consistently in bathrooms and patient rooms throughout facility. (.1312 D) Hot water shall be tempered between 100-116F. Repeat. Water adjusted during inspection.
2.0
28.
Few items of resident consumables stored on the floor inside storage closets of medical rooms. Resident sanitary briefs stored unwrapped inside dirty kitchenette cabinet with chemical cleaners. Patient consumable items stored below chemical cleaners in 3rd floor storage room. (.1318 A) All patient care or consumables shall be stored at least 8-inches above the floor. Suitable rooms or spaces shall be provided for the storage of all necessary items.
1.0
32.
Shared sitting room furniture on 3rd floor containing debris under cushions. (.1319 A) Furnishings in institutions shall be kept clean and in good repair.
0.0
40.
Spoiled employee food stored in shared facility refrigerator. (.1321 B) Food brought by employees shall be stored separately from the institutions food supply and labeled.
0.5
43.
Several resident refrigerators and some shared common area refrigerators missing a thermometer. (.1322 B) Each refrigeration unit shall be provided with an indicating thermometer of such type.
Water temperatures were ranging from 117-123F throughout the facility, in bathrooms and in patient rooms. Hot water shall be tempered between 100-116F.
2.0
27.
Facility did not have rabies records for a visiting dog inside the building. Rabies records shall be provided for any animals
0.0
28.
There were some medical equipment, and utensils stored on the floor of the medical rooms on the 1st and 2nd floors. Patient contact items shall be stored at least 8 inches above the floor.
0.5
32.
The couches in the memory care reflection room, and the main sitting room on the first floor had stains.
Observed hot water temperatures ranging from 118-127 in restrooms and activity kitchens, primarily on the 2nd and 3rd floors. Hot water shall be tempered from 100-116F.
1.0
16.
Facility does not have a backup water supply plan. Each institution shall have a plan to obtain a backup water supply plan in the event that the water supply is lost for more than 4 hours. Plan shall provide for two liters of water per day per person for drinking. Backup Water Supply Plan guidance was provided during inspection.
1.0
27.
Veterinary records not available for pet rabbit in 1st floor activity kitchen. Veterinary records shall be provided for all resident pets, and shall be kept on the premises.
1.0
34.
Observed large laundry cart used for storing soiled linens without a label. Equipment used for the transportation of Soiled laundry shall be labeled. Observed clean laundry stored on the floor in two clean linen closets. Clean laundry shall be elevated from the floor.
1.0
45.
Observed rabbit stored inside activity kitchen. No live animals shall be allowed in any room where food is prepared or stored.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Observed very low lighting inside 1st floor activity room where light bulb was burned out. Replace light bulb
1.0
13.
Observed hot water ranging from 123-128F inside patient restrooms, activity rooms ect… Hot water shall tempered from 100-116F. PIC adjusted hot water during inspection.
1.0
34.
Observed large laundry cart used for storing soiled linens without a label. Equipment used for the transportation of Soiled laundry shall be labeled.
1.0
35.
Observed patient hair inside drawer and in combs and other hair equipment in the salon area. Soiled patient contact items shall be taken to a designated area for cleaning and stored separately from clean items.
0.5
43.
Observed broken thermometer inside refrigerator in 1st floor activity kitchen.
Sunroom has damage at baseboard as evidenced by wood and caulk cracking. There is rust on the base of a metal door. Sunroom ceiling has a hole in need of repair. Spot on Sunroom ceiling - be aware of possible leaks. Ceiling fan blades in Sunroom are dusty. Floors, walls and ceilings shall be maintained clean and in good repair. Repair damaged areas in sunroom and clean ceiling fan blades.
1.0
10.
Observed dried urine and/or fecal material on porcelain toilet seats and/or gray toilet chairs in the following rooms: Room 204 - urine on porcelain part of toilet seat, Room 230- toilet seat needs cleaning and repositioning as it is secured with Velcro. Public Restroom 2nd floor (by Therapy Session Room - toilet seat needs tightening, Room 326 has dried urine on toilet, Room 328 please clean sink and toilet, Room 189 has fecal residue on the lower portion of the porcelain toilet seat, Room 165 has fecal material on the toilet chair - please clean, Room 167 toilet chair has dried urine spots. Equipment shall be kept clean to sight and touch. Restroom toilet seat needs tightening on 1st Floor across from mailboxes. Clean the aforementioned toilets and toilet chairs.
0.5
32.
Observed torn mattress cover on the top left hand corner in Room 187. Furnishings shall be maintained and in good repair. Replace plastic mattress cover.
Furniture cabinet handles are loose in many areas: Laundry Room - Upper cabinet handle is loose, Patient Room 311 Bathroom Drawer Cabinet handle loose, 1st Floor Soiled Linen Closet Cabinet Handle needs repair, Patient Room 181 Bathroom drawers handles need tightening, Country Kitchen tighten Faucet fixture is loose and needs tightening,
1.0
36.
Observed in Activity Room oven floor has debris in the bottom. Equipment shall be maintained, in good repair, and clean to sight and touch. Clean oven.
0.0
39.
Observed a carton of eggs dated 12-26-18. Eggs were discarded.
0.0
42.
Observed cubed chicken cold holding at 51F in patient Room 251. Cold holding items shall be held at 45F. Chicken was not discarded as it was saved for pet.
2.0
43.
Observed many patient rooms without thermometers in their in-room refrigerators. Room numbers include patient Rooms 204, 256, 251, 230, 212, 223, 311, 328. Thermometer needed in refrigerator in Activity Room and Country Kitchen. Thermometers shall be placed in all cold-holding units to assure temp of 45F is maintained for cold holding in patient rooms. Kitchen thermometers shall be maintained at 41F.
0.5
General Comments
This inspection was performed by Margaret A. Gunter.
Some flooring damage in 1st floor dining area. Floors shall be maintained to facilitate cleaning. Repair flooring. Clean carpeting as needed in halls and rooms.
0.0
3.
Wallpaper peeling off wall above shower in Rm. 344, 213, 239, 250, 180, and 172. Rm 213 had wall damage throughout. 1st floor hall bathroom had wall damage. Walls shall be maintained clean and in good repair. Repair these areas.
1.0
4.
Light cover damaged in Rm 180 and 172. Light timer broken in Janitor closet on 3rd floor. Fixtures shall be maintained in good repair. Repair these areas.
Several light fixtures throughout with debris accumulation. Blinds with dust residue accumulation in Rm. 320. Ceiling vents in bathrooms in several bathrooms throughout with dust residue accumulation. Increase cleaning frequency to these areas.
1.0
8.
Shower heads in multiple residents rooms including Rm 320, 356, 213, 239, 160, and 172 need a detailed cleaning. Facilities shall be maintained clean and in good repair.
1.0
10.
Toilets/riser soiled and in need of cleaning in Rm.344, 213, and 180. Facilities shall be maintained clean and in good repair. Increase cleaning frequency to these areas.
0.0
13.
Water at bathroom lavatory in Rm. 213 at 118F. Water shall be maintained at 100-116F. Adjust water temperature to this room.
0.0
26.
Bags of trash sitting on ground outside of dumpster. Premises shall be maintained clean. Place trash inside dumpster. Have leaking dumpster repaired or replaced.
0.0
32.
Repair damaged formica on cabinets. Cabinet just under refrigerator in Rm 344 soiled with sticky residue. Furnishings shall be maintained clean. Replace bedding with fresh, and clean spill in 344.
In 1st floor Reflection Rm, TV stand is missing knob. Rm 356 door under sink is loose and kickplate under refrigerator is coming off. Furniture shall be maintained in good repair. Fix these items.
1.0
40.
Food and cold medicine stored under plumbing in Rm 339. Consumables shall not be stored under plumbing to sewage. Food and cold medicine moved during inspection.
0.0
43.
Refrigerators in rooms 239, 339 and 356 observed containing TCS foods with no thermometer to monitor that proper food temperature is maintained. Add thermometers to refrigerators in rooms where needed.
Room 326 has a dark stain on the carpet located in the sitting area but the carpet will be replaced as the resident who was staying in that room has moved to another room in the facility.
0.0
8.
Shower heads in multiple residents rooms needed a detailed cleaning. Some of the rooms included were 242,225,214,357, and room 186. Toilet, handwashing, laundry and bathing facilities shall be maintained clean. If the shower heads are not able to be properly cleaned they should be replaced. The air vent in the room labeled Bathtique is dusty and should be cleaned.
2.0
10.
In room 334 where a couple is staying, both couples have bedpans that are the same color and they were not marked to indicate which resident uses what bedpan. Where disposable bedpans are reused, they shall be labeled with the patient`s name and date and shall not be used by more than one patient. Make sure all bedpans and urinals when necessary are dated and labeled.
0.5
13.
On the third floor rooms 351 and 357 had hot water temperatures that reach 118 degrees F at the bathroom sinks. Hot water should be between 100 degrees F and 116 degrees F. Monitor the water temperatures to ensure that these temperatures do not increase.
0.0
32.
In room 186 there is a small rip on the bottom corner of the box spring and the cabinets in the memory care unit kitchen area are peeling.
1.0
General Comments
Rooms visited during the inspection included, 165, 186, 342, 351, 357, 334, 332, 322, 313, 212, 214, 222, 225, 232, 234, 242, and 247.
0 points; Repair minor hole in door in room 341. Repair minor hole in bathroom wall in memory care.
0.0
8.
Repeat Violations-Replace molded shower heads throughout facility in patient rooms and central bathrooms. Clean toilets more frequently throughout center, especially in patient rooms. Repair hand sink in 3rd floor enhanced dining. Replace corroded shower hose in room 164. Replace cracked sink well in room 181.
2.0
9.
Wheelchairs and sitting chairs found in multiple central bathrooms. Bathrooms are not to be used for storage. Find alternate locations to store these items.
0.5
14.
No central bathrooms had disinfectant provided in room. Disinfectant must be provided in ALL central bathrooms./Since physical therapy is outsourced, it was unable to be determined if disinfectant was available in the physical therapy room AND it was unable to be determined if they are using an appropriate disinfectant. For physical therapy rooms, a 2-minute contact disinfectant must be used.
1.0
16.
Repeat Violation-Backup water supply plan was incomplete. A comprehensive backup water supply plan must be in place. The plan must account for the amount of water needed to perform the following functions: food preparation, hand washing, bathing, cleaning, dishwashing, laundry, disposal of bodily waste. A reduction in the amount of water needed may be used if laundry is outsourced during the outage and food is served with a single service plates and utensils. The plan must indicate that the local health department is to be notified if the outage lasts more than 4 hours. Additionally, the plan must account for 2 liters of drinking water per resident, per day. If laundry is not outsourced it is recommended to allot 15-20 gallons per resident per day. Relocation is also an appropriate plan, however, it needs to be written down on backup water supply plan. Email backup water supply plan to Jo Hill at johanna.hill@wakegov.com when plan has been drafted to ensure that it is complete. Points will be taken on next inspection of plan is not in compliance. Gave operator handouts to help write plan.
0.0
21.
0 points; Remove mattress from dumpster area.
0.0
30.
0 points; Single-service cups overstacked on all medication carts. Discontinue stacking cups above rim of container. If not corrected by next inspection, points will be taken.
0.0
32.
Repeat Violation-Replace mattress is room 315 and once replaced, install a mattress cover to prevent staining. Clean heavily littered couch in 3rd floor enhanced dining. Replace heavily stained couch in snoozle room in memory care. Replace chair with broken handle in first floor library. Clean blinds as needed throughout facility. Repair broken shelf in room 234 (above refrigerator).
1.0
33.
0 points: No soiled linen carts are labeled as soiled. All linen carts for soiled linen need to indicate that they are soiled with proper labeling.
0.0
43.
0 points; Install a thermometer in first floor activity room refrigerator.
0.0
General Comments
Rooms Checked: 315, 312, 322, 324, 337, 341, 252, 234, 232, 233, 224, 164, 181. Hot Water ranged from 100 F to 112 F. DO NOT STORE FOOD OR BEVERAGES UNDERNEATH PLUMBING (I.E. SINKS)
Plaster hanging from ceiling in bathroom Rm 215. Hole observed/damaged wall in Reoom 215 bathroom and in room 169. All walls and ceilings must be in good repair.
1.0
4.
Lighting limited in Room 255 only 6 foot candles provided above the sink in the bathroom .
1.0
8.
Crack in raised toilet seat in Room 337. Rust on toilet chair rail in Room 233. Caulking needed at the 2nd floor back public restroom hand wash sink. Must be in good repair. Shower head in need of cleaning in Room 215. All facilities shall be kept clean.
1.0
13.
Hot water throughout the facility providing hot water in rooms at 120F. Turn down the hot water. Hot water must be provided between 100-116F.
1.0
32.
Food debris under chair cushions in Room 333. All furniture must be maintained clean and clean frequently. Chair in disrepair/torn and stain. Patient contact items must be kept in good repair. (General Comment)
0.0
35.
Bath chair in need of cleaning in Room 333. Shower chair in need of cleaning in Room 233. All facilities shall be kept clean. Shower curtains in need of cleaning in Room 321 and Room 169. All curtains must be changed frequently or cleaned frequently. Consumable items stored on floor in resident's closets and under sewer lines in cabinets in many of the Rooms 322, 333, 337. Consumable items must be stored at least 8 inches above the floor and not under sewer lines.
0.5
General Comments
Carpet stained in Room 326. Carpet must be maintained clean. (General Comment)
Inspection conducted by Marion Wearing, EHSI, #2570. Inspection report signed by Shane Smith, REHS. See written inspection report with signatures in files.
Wall in nurse station where cabinet was removed and replaced with a chair needs to be repaired. Provide a continuous and cleanable wall.
0.0
4.
Replace or repair light in resident room 234 over kitchen sink . Alzheimer/memory care kitchen light fixture is not functioning and lens is broken.
0.0
12.
No Soap available in the Bathtique / bathing room. Water had been added to the soap dispenser and still dispensed no remaining remnants of soap. Soap dispenser should be mounted to the wall. Have soap available at all handwashing sinks.
1.5
36.
Alzheimer/memory care kitchen: Iced Tea Container (box like) and tea nozzle are not clean with thick sludge-like microbial growth. Unit is attached to the brewing machine and is difficult to disassemble. Replacement may be needed, especially of plastic liner and nozzle. Iced Tea Container needs to be taken apart for cleaning EVERYDAY. . . White Kitchen Cabinets are not clean. . Move beverage units to clean the counter underneath. . . Ice Machine Door, surrounding surfaces and gasket are not clean.
1.0
40.
Personal / employee drinks stored on the top shelf of the refrigerator where resident food is stored. Separate designated storage of employee personal food (chocolate chips) and beverages from McDonalds, etc should be available and used.
Repair the damaged wall/door surfaces observed in at least one resident room...Resecure the peeling vinyl on floor in second floor laundry room. Provide stripping on floor to keep vinyl in place...Replace the missing outlet cover in the second floor common area bathroom...Seal the small holes in walls in a few bathrooms...Clean the soiled floor between machines in second floor laundry room...Secure down the loose drain cover over drain in first floor janitor closet mop sink/can wash...Remove the accumulation of insect remains from ceiling light shields in Alzheimer`s unit bathtique.
1.0
4.
Observed dim lighting in many common bathrooms, in at least one resident room bathroom (Room #168) and in second floor back country kitchenette. Lighting shall be at least 10 foot candles at 30 inches above floor in all areas of establishment to effectively perform all operations including cleaning.
0.0
5.
Clean the many dusty wall vent slats throughout the establishment...Remove the accumulation of spider webs and insect remains from between outer and inner windows in various parts of facility.
1.0
22.
Observed many old wooden pallets stored on ground behind cardboard dumpster enclosure. Remove these pallets more frequently to prevent possible rodent harborage areas...Remove the trash in one open container beside the garbage dumpster...Remove the accumulation of leaves and debris from ground in dumpster areas and properly dispose of this material...Ensure no water accumulates in containers and lids in outside areas.
1.0
30.
In Room #235 medication room, observed plastic beverage cups and plastic spoons improperly stored with food contact sides up. Store cups inverted on clean surfaces (or in their original plastic sleeves) and store spoons with handles up.
0.0
32.
Clean the soiled areas under seat cushions of couches and chairs in common sitting areas as well as in cracks and crevices of upholstered chairs where seat cushions cannot be removed...Clean the soiled arm rests and seat cushions in some sitting areas...Observed a stained pillow on bed in Room #168. Properly launder or replace this pillow.
1.0
36.
Clean the soiled exteriors and interiors of cupboards in all kitchenette/activity kitchens.
0.0
43.
No thermometer was observed in Alzheimer`s unit country kitchen refrigerator. Maintain thermometers in all refrigerators where food is stored. Air temperature shall be 45F or less.
0.0
General Comments
At all mop sink/can washes in janitorial closets, turn off water at the faucets whenever chemicals or water are not being dispensed...Ensure there is soap available at all handwashing sinks (along with paper towels), including in laundry rooms, kitchenettes, etc...Provide soap and paper towels at handwashing sink in bathroom in medication room #235. Do not use common cloth towel to dry hands...Emergency back-up water plan is in place...Veterinary records are being kept for pets living on the premises.
Clean walls in Reminiscence Unit kitchen near garbage can.
1.0
36.
(Reminiscence Unit)Clean bottom of reach-in refrigerator in activity room. Clean table under microwave in activity room. Clean sides and legs of drainboard next to trashcan.
The janitor closet by the kitchen floor is dirty. Carpet is torn and stained in the wellness center on the remeniscence wing. Carpet is stained in room 170.
1.0
3.
Water damaged ceiling tiles in the kitchenette in the remeniscence wing. Laundry room in the remeniscence has worn wall above the handsink. Room 170 the wall is worn in the bathroom by the toilet. Some of the wallpaper is coming off the wall in the bathing room in reminscence.
1.0
35.
Wheel chairs are stored in the soiled utility room in the reminiscence wing. Store in a room where the wheel chairs will not be contaminated. Depends stored on the floor of the wellness center on the 2nd floor. Store on shelving. Urine measurer that was used is stored in the shower in room 312. Do not store single service gloves stored on the floor next to the emesis basin in the utility room. Store on shelving and not next to the emesis basin.
0.5
43.
Room 233 the refrigerator is 70F, room 215 the refrigerator is 54F,room 247 the refrigerator is 54F. Maintain temperatures in the refrigerators at or below 45F. No thermometer in room 253 and in the remeniscence refrigerator in the main kitchen.
1.0
General Comments
36. Moldy gaskets on the refrigerator and freezer in the main kitchen in the remeniscence. Clean them. Some of the drawers in the activity kithcen on the 1st floor are dirty. Moldy shower mat in room 333.
Clean sheets stored in the bathing room in the reminiscence wing. Wheelchair stored in the bathing room in the reminiscence wing.
0.5
12.
No soap for handwashing in the utility room at the hansink in the reminescence wing. Provide.
1.5
35.
The utility room in the reminscence wing has depends stored on the floor.
0.5
43.
Refrigerator in room 352 is 51F, refrigerator in room 228 is 53F, refrigerator in room 335 is 48F. Maintain temperatures in the refrigerators at or below 45F.
0.5
General Comments
Replace the water damaged ceiling tile in the library. Recaulk the public restroom on the 1st floor around the toilet. Replace or repair worn sink tail pipes in the reminiscence public bathroom, in room 168. Invert single service spoons on the reminescence medication cart. Room 341 carpet is stained. Clean more frequently. Adjust the shower head in 341 the water pressure is low. The wallpaper is coming off the wall in the reminescence bathroom.(Walls in bathrooms should be smooth and easily cleanable).
Stained carpet in room 335, room 341 and room 237.
1.0
13.
Some handsinks on the 2nd and 3rd floor are 118-120F. Maintain hot water between 100-116F at the handsinks. Water heater was turned down.
1.0
37.
Coffe cups are being washed in the activity kitchen and they are not being sanitized. Wash, rinse and sanitize coffee cups in the main kitchen in the dishmachine or 3 compartment sink.
0.5
General Comments
Disposable gloves stored under a sink. Invert single service medicine cups. Repair cabinents under activity kitchen sinks.
Complete repair of ceiling from water damage in rem. wing. Replace all water damaged ceiling tile in this wing since leak is fixed.
1.0
8.
Verify that room shower curtains, sinks, shower heads, commodes, and shower floors are cleaned thoroughly of all buildup and residue. Ex: Primarily room bathrooms on second floor and a few bathrooms in rem. wing.
1.0
42.
Opened containers of single serve yogurt, drinks, or milk should be discarded and not be kept in community refrigerators . All personal food items in coolers should be labeled. Ex: Individual`s name. Yogurt in service kitchen for rem. wing was left out on counter and had an internal temp. of 65 degrees F. Cold foods must be kept at temps. of 45 degrees F. or less and should not be reserved if proper cold food storage is not maintained..
2.0
43.
Refrigerator fo activity kitchen on third floor had an internal temp. of 50 degrees F. Cold foods must be kept at temps. of 45 degrees F. or less. Verify that this refrigerator is kept on a colder temp. setting. No potentially hazardous food items like milk were above 45 degrees in this cooler at time of inspection. Internal thermometer for this cooler displayed same internal air temp. as inspection thermometer.
0.5
General Comments
Keep dry foods like cereal in servery kitchens in sealed containers after opening product packages. Room coolers need thermometers to verify proper cold food storage temps. Verify that all activity kitchen coolers have thermometers.
Clean floors beneath resident beds. Empty water bottle was beneath bed on 3rd floor.
1.0
8.
Clean shower heads in resident bathrooms. Clean beneath shower chairs. Some mildew beneath some chairs.
1.0
19.
Repair automatic ice dispenser on 3rd floor cooler. Resident was getting ice out of bin by hand. Residents should not have access to ice bin. Only staff should dispense ice until automatic dispenser is fixed.
1.0
30.
Clean drawers in med carts of residue and crumbs.
1.0
40.
Staff drinks and personal food items should be stored away from food product for residents in all activity room coolers. Do not allow residents to leave opened cartons of milk in coolers. Personal items left by residents must be properly labeled
0.5
43.
Accurate thermometers are needed in all coolers in activity/ common areas several coolers lacked thermometers . All medical coolers must have accurate thermometers. Keep current vet records for pet birds in lobby case. Repair ceiling leak in 1st floor activity room kitchens. Keep personal items like toilet issue and adult diapers stored off the floor
