Observations
Based on a physical plant inspection, the facility failed to ensure that the facility was free from any danger to health and safety.
The findings include:
The physical plant inspection took place on October 10, 2014 as a result of a complaint investigation. There were several physical plant issues that resulted in a noncompliance.
Women ' s wing:
Room 8 - Toilet paper lodged in the heating vent.
Men ' s wing:
Room 10 - Mold in the shower and the outside door was covered with spider webs, spider eggs and insects.
Room 13 - Heater cover sticking out causing a potential safety hazard.
Room 18 - Heater coil fins not covered, sticking out causing a potential safety hazard and mold in the shower.
Room 19 - Tiles missing by the shower wall causing a potential safety hazard.
Room 29 - Outlet cover missing and blankets were located by the outlet causing a fire hazard. Heat coil fins not covered, sticking out causing a potential safety hazard.
Steps on the motel side leading up to the second floor back had several cracks on three of the steps causing a potential safety hazard.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Room 8 Toilet Paper removed. October 09, 2014; Reinspected November 17, 2014
Room 10 Mold removed, spider webs, eggs and insects removed. October 10, 2014; Reinspected
November 17, 2014
Room 13 Heater cover repaired. October 17, 2014; Reinspected November 17, 2014
Room 18 Heater coil fins covered. October 17, 2014; Reinspected November 17, 2014
Room 19 Tiles replaced. October 17, 2014; Reinspected November 17, 2014
Room 29 Outlet cover replaced, blankets removed, coil fins covered. October 17, 2014; Reinspected November 17, 2014
Steps Repaired October 17, 2014. Reinspected November 17. Pending weather conditions, second coat will be applied before November 28.
In addition:
1. Revising BGB's Room Inspection system. Starting December 02, 2014
2. Retrain staff on how to do room inspections and use the new Room Inspection Sheet. Completed by December 09, 2014
3. Create Monthly Environmental Safety Process. Starting December 09, 2014.
Exits Lock removed from Room 31 to make exit accessible to patients in hallway and bathroom areas. November 17, 2014
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Observations
Based on a physical plant inspection, the facility failed to ensure that all exits were unobstructed.
The findings include:
The physical plant inspection took place on October 10, 2014 as a result of a compliant investigation. Resident Rooms 30 and 31 located in the basement of the house had two exits, one located in each room. The exits were not accessible due to rooms 30 and 31 being locked.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Exits Lock removed from Room 31 to make exit accessible to patients in hallway and bathroom areas. November 17, 2014 |