cms_DC: 80
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
80 | SERENITY REHABILITATION AND HEALTH CENTER LLC | 95015 | 1380 SOUTHERN AVE SE | WASHINGTON | DC | 20032 | 2018-07-20 | 880 | F | 0 | 1 | L7I811 | Based on observations and staff interview, the facility failed to maintain laundry equipment in safe condition as evidenced by two (2) of three (3) washing machines in the laundry room that continuously leaked through their access door. Facility staff failed to develop policies and procedures to identify, monitor and manage the growth and spread of bacteria such as Legionella in their water system, and failed to establish a system of surveillance designed to identify possible communicable diseases or infections before they can spread to other persons in the facility. Findings included . 1.During observations in the laundry room on (MONTH) 11, (YEAR), at 3:10 PM, two (2) of three (3) washing machines were steadily leaking through the bottom of the access door. During a face-to-face interview on (MONTH) 17, (YEAR), Employee #13 acknowledged these findings. 2.Facility staff failed to develop policies and procedures to identify, monitor and manage the growth and spread of bacteria such as Legionella in their water system. The facility did not have available policies and procedures related to water management to inhibit the growth and spread of Legionella. The facility lacked a risk assessment to identify where waterborne pathogens such as legionella could grow and spread. The facility failed to test and implement a water management program to test for, monitor and control Legionella and other waterborne pathogens. During a face-to-face interview on (MONTH) 18, (YEAR), at 9:20 AM, Employee #12 confirmed the findings. 3. Failed to establish a system of surveillance designed to identify possible communicable diseases or infections before they can spread to other persons in the facility. On (MONTH) 19, (YEAR), at approxiately 2:30 PM, a review the faciltiy's infection control program was conducted. At this time, it was noted that surveillance data related to infection control for (MONTH) and (MONTH) (YEAR), was not used for staff education to help minimize the spread of the infection (e.g., staff education and competency assessment). During a face-to-face interview with Employee #2 on (MONTH) 19, (YEAR), at approxiately 2:30 PM, she acknowledged the findings. | 2020-09-01 |