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Tag No.: A0724
Based on observations and interviews, the hospital failed to maintain all facilities and equipment on the Chemical Dependency Unit ("D4") to ensure an acceptable level of safety and quality.
Findings:
The following was observed on:
- 3/18/2024 at 1:14 PM, the patient shower in Room 405B was found damp and musty smelling with a black substance on the ceiling and edges of the shower tile. The ventilation fan in the shower was not able to be demonstrated as operable and had a rust-colored substance on the vent.
- 3/19/2024 at 12:09 PM, a stain was observed on the ceiling in Room 404.
- 3/19/2024 at 12:20 PM, the mattresses in Rooms 406 and 425 were found to have torn covers, preventing them from being cleaned and sanitized.
These findings were confirmed with the Behavioral Nurse Manager on 3/19/2024 at 12:50 PM.