Observations
Based on a physical plant inspection, the facility failed to keep the grounds of clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors.
At the time of the physical plant inspection, the patient restroom was found to have a smell of urine, an unknown black substance in the sink and a hole in the wall where the door handle makes contact.
These findings were reviewed with facility staff during the investigative process.
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Plan of Correction
Program Director will secure a repairman to contract to complete repair within 2 weeks. Program Director will monitor cleaning services to ensure they are completing work within the contract weekly. Program Director will utilize the facility plant checklist monthly to ensure entire physical plant is meeting all standards. Program director will follow up and make repairs as soon as an issue is identified with the monthly plant checklist. Receptionist will monitor the bathroom every 2 hours during dosing hours to ensure it meets all standards based on the physical plant check list and provide immediate assistance to the bathroom if it does not meet standards. |