Ice Machines Not Maintained in Clean and Sanitary Condition
Penalty
Summary
Surveyors identified a deficiency related to the maintenance and sanitation of ice machines on the 2nd, 3rd, and 4th floor resident units. During initial tours, surveyors observed that all three ice machines had significant visible soiling, including white and black substances inside the ice chutes, rust-like buildup on drain covers, peeling molding, and spatter-type debris on the exteriors. The drain areas were also noted to be soiled and stained. These observations were confirmed in the presence of the Licensed Nursing Home Administrator (LNHA), who acknowledged the debris and unsanitary conditions. Interviews with the Maintenance Director (MD) revealed a lack of knowledge regarding the cleaning schedule and procedures for the ice machines. The MD was unable to confirm when the machines were last cleaned, whether there was documentation of cleaning, or the steps required for proper cleaning. The MD also stated that he had not cleaned the machines since his appointment and was unaware of the need to do so. The facility had discontinued service contracts for the ice machines after a change in management, and the MD indicated that the previous company had performed monthly cleanings, but this practice had not continued. A review of the manufacturer's manual provided by the facility outlined specific maintenance requirements, including weekly exterior cleaning and descaling/sanitizing procedures at least every six months. The manual also described additional procedures for heavily soiled machines and emphasized the use of appropriate cleaning agents. The surveyors found that these maintenance protocols were not being followed, as evidenced by the condition of the machines and the lack of staff knowledge or documentation regarding cleaning and maintenance activities.