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Tag No.: A0701
Based on observation and staff interview the facility failed to maintain the condition of the physical plant and the overall hospital environment in such a manner that the safety and well-being of patients are assured. Census 147.
Findings include:
a) Observation during the facility inspection tour conducted on 08/04/25 at 2:13 p.m., revealed both of the 5 west restroom by the nurse station having a air registers partially painted over and loaded with dust restricting air flow, damage to the drywall and peeling paint. Also noted toilet paper and wet towels on the floor and a general lack of cleanliness.
b) Observation during the facility inspection tour conducted on 08/04/25 at 2:30 p.m., revealed a ceiling tile in the corridor by the 4 west restroom around the corner from the nurse station to be water stained and having a black in color mold or mildew like substance.
c) Observation during the facility inspection tour conducted on 08/04/25 at 2:31 p.m., revealed a rusty air register in the 4 west restroom above the bathtub.
d) Observation during the facility inspection tour conducted on 08/04/25 at 2:40 p.m., revealed two rusty air registers in the 3 west restroom by the nurse station.
e) Observation during the facility inspection tour conducted on 08/04/25 at 2:44 p.m., revealed a black in color mold or mildew like substance along the shower floor in the 3 north restroom.
f) Observation during the facility inspection tour conducted on 08/04/25 at 2:47 p.m., revealed a black in color mold or mildew like substance on the walls and floor of the shower.
g) Observation during the facility inspection tour conducted on 08/04/25 at 2:50 p.m., revealed the air register in the 2 west restroom to be loaded with dust and damage to the light fixture above the shower.
h) Observation during the facility inspection tour conducted on 08/04/25 at 2:55 p.m., revealed peeling paint and rust on the toilet and door frame in the 2 east restroom.
i) Interview on 08/04/25 at approximately 3:00 p.m. with the Facilities Maintenance Director verified these findings. The findings were also acknowledged by the Administrator at the exit interview on 08/04/25.