The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
|THOREK MEMORIAL HOSPITAL||850 W IRVING PARK RD CHICAGO, IL 60613||Nov. 1, 2013|
|VIOLATION: MAINTENANCE OF PHYSICAL PLANT||Tag No: A0701|
|Based on observation, document review and interview, it was determined that in 1 of 17 rooms (room #316) rooms observed, the hospital failed to ensure the room was free of potentially harmful environmental substances.
1. On 9/29/13 between 9:35 AM and 11:00 AM the 3E Behavioral Health Unit was toured. During the tour the ceiling vents of the rooms were inspected. The ceiling vent in room 316 contained approximately 2 inches of black substance around the vent. The vents in the other rooms were clean.
2. Hospital policy entitled, " Cleaning Patient Room - Occupied, " (revised 8/13) required, " procedure: Dust all fixtures ...in the room and bathroom above shoulder height. "
3. Hospital policy entitled, " Cleaning Patient Room - Discharge/Transfer, " (revised 8/13) required, " Procedure: Damp dust overbed tables ...spots on walls ...with a hospital approved germicidal solution. "
4. The Director of Environmental Services (E #4) was interviewed on 10/31/13 at 1:00 PM. E #4 stated, " The area in room 317 did not have the characteristics of mold, however we treated it as such. We used Lysol, scrubbed the area and then sealed the area.