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.

TEN LAKES CENTER, LLC 819 NORTH FIRST STREET, 3RD FLOOR DENNISON, OH 44621 May 19, 2015
VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES Tag No: A0749
Based on observation, interview and manufacturer instructions for use of cleaning agents, the facility failed to ensure environmental services personnel used cleaning products according to manufacturer instructions for one of one rooms observed being terminally cleaned and failed to ensure hand washing was performed by contracted environmental services staff. The facility census was 15 active patients.

Findings include:

1. On 05/19/15 at approximately 9:30 AM, Staff A was observed performing a terminal cleaning of room 309 B. Staff A was observed spraying a disinfectant C on the sink room 309 B. Staff A immediately wiped the disinfectant C from the sink. At the time of the observation, Staff A stated he/she was supposed to allow the disinfectant to remain on the surface for 10 minutes and reported not having time to wait the ten minutes before removing the disinfectant C.

The manufacturer's directions for use of disinfectant C were reviewed and stated to apply solution and allow solution to remain wet for 10 minutes, then remove excess liquid.

2. On 05/19/15 from approximately 9:30 AM to 10:00 AM, Staff A, was observed washing his/her hands two times. Staff A did not apply soap during both hand washings observed. Staff A, at the time of the observations, reported he/she does not use soap when washing hands.