Deficiencies in Sanitation and Functionality of Facility Equipment
Penalty
Summary
During a recertification survey conducted from February 11 to February 19, 2025, several deficiencies were identified in the facility's environment, impacting both residents and staff. On the initial tour of the main kitchen, it was observed that two self-dispensing motion-activated handwashing sinks dispensed only cold water, with one sink measuring 43 degrees Fahrenheit. A dining services worker confirmed that the water typically comes out cold. Additionally, a handwash sink in the third-floor beauty salon was found to be non-functional, as it did not dispense water. The Director of Facilities later stated that the water to this sink was turned off, despite the room being used for hair and grooming services for multiple residents. Further observations revealed that several stand assist lifts across all three resident-use floors had dirty footrest trays with an accumulation of crumbs and debris. Specifically, manual stand aid lifts on the second and third floors, as well as two stand assist lifts on the first floor, were noted to have dirty footrests. An electric sit-to-stand lift on the first floor was also found with a dirty footrest tray. These findings indicate a failure to maintain a functional and sanitary environment, as required by the relevant health regulations.
Plan Of Correction
Plan of Correction: Approved March 17, 2025 1. All manual stand-aid lifts were immediately cleaned. The sink mixing valve in the kitchen was replaced on 02/13/2025, and the beauty shop water was turned back on. 2. All sinks in the facility were checked and are in working order. Both hand-washing sinks provide adequate hot water on 02/13/2025. 3. The director of facilities educated the beautician on the importance of not turning the sink water off. 4. Weekly cleaning audits for footrests on all manual and electrical residents' stand-assist lifts on all units and handwashing sinks will be conducted in the kitchen/Beauty shop. These results will be presented to the QA committee monthly for three months. The committee will determine the frequency of the audit thereafter. Responsible Party: Director of Facilities