HospitalInspections.org

Based on observation and interview, the provider failed to ensure exits were readily accessible at all times. Two patient-use doors were equipped with deadbolts keyed on both sides of the door in addition to positive latching hardware. Findings include:

1. Observation at 8:45 a.m. revealed the main room door and the toilet room door for patient room 100 were equipped with deadbolts keyed on both sides of the door in addition to positive latching hardware. Interview with the director of plant operations at the time of the observation revealed he was unaware the doors were equipped with deadbolts. The bolts were removed from both doors during the survey.

Based on observation and interview, the provider failed to properly install alcohol based hand rub (ABHR) containers at three randomly observed locations (over or adjacent to light switches or electrical receptacles in the hospice suite and patient rooms 120 and 121). Findings include:

1. Observation beginning at 9:00 a.m. to 9:30 a.m. revealed Steris brand 9 ounce ABHR containers were installed over an electrical source in the hospice suite and adjacent to light switches in patient rooms 120 and 121. Interview with the director of plant operations at the time of the observations confirmed those findings. He stated he would perform a check of the facility for other possible unacceptable installations of ABHR and have them corrected as soon as possible.