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Based on observation, record review and staff interviews, the facility failed to ensure proper routine storage and prompt disposal of trash in accordance with Federal State and local laws and regulations (i.e. EPA, OSHA, CDC, State environmental, health and safety regulations.).

During the facility tour with the Food & Dietary Manager (Employee #13) and Director of Maintenance (Employee #19) on 5/22/18 at 10:30 a.m. on the hallway near the laboratory, one bag of trash and one red bag waste was located on an uncovered cart.

A review of the Centers for Disease Control and Prevention (CDC)'s "Guidelines for Environmental Infection Control in Health-Care Facilities" listed:
Section III. Handling, Transporting, and Storing Regulated Medical Waste
Part E: If treatment options are not available at the site where the medical waste is generated, transport regulated wastes in closed, impervious containers to the onsite location or to another facility for treatment as appropriate.

A review of the Occupational Safety and Health Administration (OSHA) regulation guidelines, "Bloodborne Pathogens" in Standard Number 1930.1030(d)(2)(xiii)(A) listed:
The container for storage, transport, or shipping shall be labeled or color-coded and closed prior to being stored, transported, or shipped.

A review of the facility policy titled, "Definition and Disposal of Biohazardous Waste", effective date 05/2011, showed documentation that the facility would handle and dispose all waste in accordance with State health, Safety code, and OSHA guidelines.

During an interview with the housekeeper (Employee #21) on 5/22/18 at 10:32 a.m., on the hallway near the laboratory, Employee #21 stated each time he/she collected trash and red bag waste from each room, he/she would place the trash/waste on the cart and transport the cart into the facility's solid utility room.

During an interview with Employee #13 on 5/22/18 at 10:35 a.m., on the hallway near the laboratory, Employee #13 stated the facility did not have any covered carts to transport the biohazard waste from areas that contained the waste to the soiled utility room.

Based on observation, record review, and staff interviews, the facility's preventive maintenance program failed to provide premises that were clean and orderly.

During the tour of the Nursing Unit on 5/22/18 at 9:30 a.m., the ice machine inside the nutrition room had a grimy unidentified substance and encrusted build up of mineral deposits.

A review of the facility's ice machine logs showed no 2018 calendar year documentation that the ice machine logs were serviced.

A review of the facility's policy titled, "Safety Hazard Surveillance", effective date 5/2011 listed:
1. The Safety Office will ensure that an ongoing hospital wide program will collect and evaluate information about environmental deficiencies, hazards, and unsafe practices.

2. Hazard surveillance rounds will be conducted by individuals who have expertise in safety-related issues including, but not limited to, the Safety Office, Infection Control practitioner and department managers.

During an interview with the Charge Nurse (Employee #3) on 5/22/18 at 9:30 a.m., inside the nutrition room, Employee #3 acknowledged the ice machine was dirty.

During an interview with the Director of Maintenance (Employee #19) on 5/22/18 at 11:30 a.m, inside the nutrition room, Employee #19 stated he/she cleaned the ice machine approximately two months ago. Employee #19 further stated, he/she did not know if there were ice machine logs maintained at the facility.