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Based on observation, record review and interviews, the facility failed to provide a clean and sanitary environment; the trash can in Out Patient Services treatment room was not changed/emptied after a patient had her bandages changed.
The findings were:
Observations on 2/18/14 at 11:35 a.m. in the Out Patient Treatment room revealed there was a trash can which contained cloth drapes, dressings and other various trash.
Interview on 2/18/14 at 11:40 a.m. with the facility Out Patient Therapy Director (OPT Director) confirmed the trash can was not emptied after the last patient (patient #4) from the day before. The OPT Director revealed the last patient came in the day before, 2/17/14 around 4:00 p.m., had her dressings changed due to lymphedema. The OPT Director confirmed the trash should have been emptied after patient #4 had left.
Record review of the Outpatient Treatment Department Intervention/Treatment dated 2/17/14, timed 15:55, stated " Patient #4 arrived to the clinic, removed dressing to left leg with bandage scissors. Small amount of bloody drainage to upper outer left side of calf. There is a small skin tear in this area. "
Interview on 2/19/14 at 11:20 a.m. with the facility Director of Housekeeping (DOH) confirmed that housekeeping should have emptied the trash can that afternoon. The DOH also stated that housekeeping should check all trash cans before and after shift.
Record review of the policy titled " Floater Shift " , no date listed, given to surveyor by the DOH stated, " Pick up trash from all departments around 2:00 p.m. " and again " Before shift is over re-check all areas " .

Based on review of clinical records, record review of facility's Patient Rights Policy and Procedure, and interview with facility 's personnel, It has been revealed that the facility has failed to provide patients with information regarding their patient rights.
The findings were:
Record review 3 of 10 patient ( patients # 1, #2, and #3) medical records revealed there was no documentation that 3 patients received documentation of information regarding patient rights.
Record review of facility Patient Rights Policy and Procedure, no date listed, revealed the following: " Purpose is to establish a mechanism for informing the patient and his/her family or significant other of the rights and responsibilities as it relates to their healthcare. All patients who register for patient care will receive information regarding their rights and responsibilities as a patient. At the time of registration, the Patient Access Representative provides each patient with a written statement of his or her rights and responsibilities. The patient acknowledges receipt of his/her rights and responsibilities by signature on the Patient Rights and Responsibilities form. The signed form is filed as a permanent part of the medical record. "
Interview on 2/19/14 at 2:05 p.m. with the facility Clinical Systems Coordinator (CSC) revealed that the patients did not have a patient rights and responsibility signed. CSC confirmed she could not find the patient rights in the electronic and/or paper medical chart.