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Based on observation, record review, and staff interview it was determined the facility failed to ensure that the condition of the physical plant and the overall hospital environment must be developed and maintained in such a manner that the safety and well-being of patients are assured. This deficient practice could affect all patients, staff, and visitors in the areas referenced. Facility census 39.

Findings include:

a) Observation during the facility tour on 08/27/18 at approximately 11:45 a.m. revealed the Administrator had trouble with his key on several emergency exit fire escape doors located on the 3rd and 4th Floor of Building #3.

b) Observation during the facility tour on 08/28/18 at approximately 8:51 a.m. revealed the Health Service Worker had trouble with her key unlocking the emergency exit fire escape door near Room 313 on the 3rd Floor of Building #3.

c) Observation during the facility tour on 08/28/18 at approximately 9:18 a.m. revealed a Housekeeper had trouble with her key unlocking the emergency exit fire escape door near Room 401 on the 4th Floor of Building #3.

d) Interview on 08/28/18 at approximately 10:40 a.m. revealed the Housekeeping Supervisor verified the complaint of the alleged vomit and bodily fluids being left in the visitor's room. The Housekeeper responsible for cleaning the visitor's room on this day noted that they forgot to go back and clean this room after the alleged vomit and bodily fluids were reported.

e) Interview on 08/28/18 at approximately 10:42 a.m. with the Safety Director verified these findings. The findings were also acknowledged by the Administrator at the exit interview on 08/28/18.