HospitalInspections.org

Based on observation and interview it was determined the facility failed to ensure the physical plant and the overall hospital environment was maintained to assure the safety and well-being of patients, staff and visitors.

Findings included:

On 9/22/2022 at 11:00am, escorted by the RN Supervisor, Director and Manager Plant Operations, a tour of the patient care areas, Unit A, G and M was initiated.

Observation of Unit A revealed the following:
1. Low flow of water on the common area sink.
2. Floors and doors have peeling paint.
3. Walls damaged and unpainted.
4. Graffiti on walls in patients rooms and common areas.

Observation of Unit G revealed the following:
1. Graffiti on walls in patients rooms and common areas.
2. Walls damaged and unpainted.
3. Nursing station walls all scratched up and marked.
4. Medication room tiles stained.

Observation of Unit M revealed the following:
1. Seclusion room - 5 fishing rods and related fishing equipment such as tackle boxes.
2. 2 metal chairs, rolling walker, cane.

Review of the work order log did not reveal any of the above findings had been reported.

On 9/22/2022 interview with Director and Manager of Plant Operations confirmed the above findings.

Based on observation and interview it was determined the facility failed to ensure a sanitary environment.

Findings include:

On 9/22/2022 at 11am, a tour of the facility was initiated with both the Director and Manager of Plant operations who overseas housekeeping.

On 9/22/2022 at 11:05 am, Unit A Nurses Station was observed to have dirt and dust on floor surfaces and in corners.

On 9/22/2022 at 11:15am, Unit A seclusion area was observed to have dried blood splatter on door, ants and food scraps on floor, dirt and dust on floor surfaces and in corners and grime marks on the floor and wall surfaces.

On 9/22/2022 at 11:25am, Unit A patient rooms were observed to have dust and dirt under mattresses, dirt and grime on walls and floor and thick dust in corners.

On 9/22/2022 at 11:45am, Unit G patient rooms were observed to have dirt, dust and grim under mattresses, food scraps on floor, thick dirt and grim along skirting boards of rooms.

On 9/22/2022 at 11:55am, Unit G medication room was observed to have two large stains on the ceiling tiles.

On 9/22/2022 at 12:30pm, Unit M seclusion room was observed to have 5 fishing rods and related fishing equipment such as tackle boxes and 2 metal chairs, rolling walker, cane stored.

Photos evidence obtained.

Review of the work order log did not reveal any of the above findings had been reported.

On 9/22/2022 at 11:25am an interview with staff #K reveals that Environmental services (EVS) does not keep logs of rooms that were cleaned daily nor isolation rooms that were cleaned.

On 9/22/2022 at 11:25am an interview with Staff #E and #F reveals the EVS do not keep logs of what rooms were cleaned daily nor if the rooms were isolation cleaning.

On 9/22/2022 at 11:25am an interview with Staff #E (Director of Plant Ops) and #F (Manager of Plant Ops) whom are designated supervisors of housekeeping confirmed that they failed to develop and implement, in coordination with the infection control committee, written policies and procedures for the cleaning of the physical facility, equipment, and special written procedures for cleaning all infectious disease areas.
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