Bringing transparency to federal inspections
Tag No.: K0381
Based on observation and staff interview on 3/02/18, it was determined that the facility failed to ensure that all patient sleeping rooms contain an outside window or outside door.
Findings include:
1. During a tour conducted at 10:30 AM, the following was noted:
a. Seclusion Room #2 did not have a window or door to the outside.
(i) A mattress was placed on the floor.
(ii) There was a pillow and blanket on the mattress.
(iii) Patient #7's belongings were on the floor next to the mattress.
b. Staff #1 confirmed that Seclution Room #2 was being utilized as a sleeping room since Patient #7 was admitted on 3/01/18.