cms_GA: 8141
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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8141 | PLACE AT MARTINEZ, THE | 115308 | 409 PLEASANT HOME ROAD | AUGUSTA | GA | 30907 | 2011-12-01 | 323 | E | 0 | 1 | HMWR11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and staff interview, the facility failed to ensure that water temperatures in two (2) of two (2) common bathing areas and resident rooms on one (1) of two (2) units ('B' unit) were below 120 degrees Fahrenheit (F); failed to lock a door to a room containing hot water heaters and electrical panels on one (1) of two (2) units ('B' unit); and failed to secure chemicals in two (2) of two (2) common bathing rooms on one (1) of two (2) units ('A' unit). There were twenty-five (25) residents in the facility that were independently mobile and cognitively impaired. Findings include: 1. During initial tour of the facility beginning at 10:45 a.m. on 11/28/11, water temperatures ranging from 111.8 degrees to 118.4 degrees F were obtained using the surveyor's thermometer in four resident rooms and two common shower rooms on the 'B' unit. Water temperatures were rechecked in the Shower Room on the front hall of 'B' unit with the Maintenance Director at 12:10 p.m.; he obtained a reading of 122 degrees F with his thermometer (it was 126.9 degrees using the surveyor's thermometer; the faucet was hot to touch and the water was steaming). He stated that a thermostat on one of two hot water heaters that supplied the 'B' wing had broken, and a plumbing service had repaired it that morning. He added that they must have adjusted the temp up after they fixed the thermostat, as the water temperature had been in the 70's. Temperatures were taken again at 1:20 p.m.; in room 14 the temperature was 124.3 using the surveyor's thermometer, and 121 degrees with the facility thermometer. 2. On 11/29/11 at 3:08 p.m., it was noted that the door to the Soiled Utility Room on the front hall on the 'B' unit had a numeric lock on it, but the door was able to be opened by turning the handle. Inside this room was another unlocked, open door that contained two large hot water heaters and several electrical panels. This was verified by the Maintenance Director and the facility's owner, who stated the door should be kept locked. In addition, the Maintenance Director stated the door to the room with the hot water heaters and electrical panels should have been locked separately. On 11/30/11 at 1:24 p.m., it was noted that the code to unlock this same Soiled Utility Room door was taped above the door handle. This was pointed out to the Administrator, who did not know why this had been done. 3. On 11/30/11 at 1:47 p.m., a resident was noted to independently ambulate in an unlocked Shower Room on 'A' unit to use the commode. Afterwards, a cabinet was noted in the Shower room with a sign attached that read 'Cabinets Must Remain Locked When Not In Use.' There was lock on cabinet, but the key was inside the lock. Inside the cabinet were several bottles of shampoo and deodorant, and a full 1-quart spray bottle of MadaCide-FD Germicidal Solution. Labeling precautions included harmful if inhaled or absorbed through the skin. Causes moderate eye irritation. Avoid breathing vapors and contact with eyes, skin or clothing. At 1:55 p.m., Licensed Practical Nurse (LPN) stated the resident (#94) that entered the Shower Room was confused (review of resident #94's Minimum (MDS) data set [DATE] revealed the resident had severe cognitive impairment). At 2:09 p.m., it was noted that in the unlocked Whirlpool Room on 'A' hall, there was another cabinet with a padlock with the key inserted in it that contained numerous personal care and hygiene items, as well as a half-full spray bottle of the MadaCide-FD Germicidal chemical. This was verified by the Director of Nurses at 2:15 p.m., who removed the chemicals and stated she did not know why the keys were left in the padlocks. Review of the MSDS Sheet on Madacide-FD Germicidal Solution noted irritation to the nose/throat; eyes; skin; and GI system may occur from acute exposure. Per a list provided by the Director of Nurses (DON) on 11/30/11 at 4:50 p.m., 12 of the 33 residents on the 'B' unit were independently mobile, with 10 of these having some degree of cognitive impairment. There were 15 residents on the 'A' unit that were independently mobile and cognitively impaired. | 2016-06-01 |