Failure to Maintain Sanitary and Safe Environmental Conditions
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. During an environmental tour of the kitchen, the ice machine was found to have an expired filter with a 'change by date' that had passed, and the Regional Kitchen Manager was unable to explain why it had not been changed. Additionally, a tour of the laundry room revealed that the area behind multiple dryers had a floor surface covered with dried liquid spillage from cleaning chemicals, and the tops of the dryers were covered with a thick layer of lint. The facility Administrator acknowledged the presence of these unsanitary conditions.
Plan Of Correction
1.) The laundry room, including all machines and the floor behind the machines, was cleaned and dusted, and the ice machine filter was changed. 2.) A one-time audit was completed to ensure that dusting was completed throughout the facility and all ice filters were clean and changed. The housekeeping and maintenance departments were re-educated. 3.) System Change: All water filters will be changed according to manufacturer guidelines. The administrator/designee will complete rounds weekly to ensure the facility, including appliances/machinery, is kept clean. 4.) The administrator/designee will complete weekly rounds for 12 weeks to ensure the facility, including appliances/machinery, is dust free and will also conduct routine rounds to ensure there are no expired water filters. Any non-adherence will result in 1:1 education. All audits will be taken to QA for review. 5.) The administrator is responsible for ongoing compliance.