cms_GA: 8
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8 | MAGNOLIA MANOR METHODIST NSG C | 115004 | 2001 SOUTH LEE STREET | AMERICUS | GA | 31709 | 2019-01-25 | 584 | D | 0 | 1 | 4HRK11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and review of facility documents the facility failed to maintain a safe/clean/comfortable homelike environment for the residents in six rooms (out of 24 rooms) on one unit (out of five). Specifically, six rooms on Unit 300 had significant areas of bare walls where the paint had been scratched, scuffed or peeled off. The documents reviewed included the Daily Housekeeping Room Checklist, Housekeeping Review, Work Order Logs and the Call In Work Orders listing. Findings include: A tour of Unit 300 was conducted with the Maintenance Director (MD) beginning on 1/25/19 at 10:35 a.m. The following areas were confirmed with the MD including: room [ROOM NUMBER]: Multiple areas on one of four walls where paint is scuffed, scratched and peeling, missing; room [ROOM NUMBER]-A: Multiple areas on the wall behind the head of the bed where paint is missing; room [ROOM NUMBER]-A: Multiple areas on the wall behind the head of the bed where paint is missing; room [ROOM NUMBER]: A line of multiple scratched, scuffed areas where paint is missing approximately four feet from floor (waist high) on two of four walls; room [ROOM NUMBER]: Multiple areas on one of four walls where paint is scuffed, scratched and peeling, missing above the cove base; room [ROOM NUMBER]: An area on the entry wall five feet in length approximately three feet from floor (waist high) where paint is missing, scratched, scuffed. During an interview conducted on 1/25/19 at 9:57 a.m. with Maintenance Tech CC revealed that he receives work orders from the maintenance office to complete specific painting tasks. He could not confirm if there was any type of regular scheduled inspection of the rooms for routine maintenance. An interview with the Administrator was conducted on 1/25/19 at 10:15 a.m. revealed that the facility is currently undergoing a renovation by unit. She could not confirm when Unit 300 was scheduled for renovation but stated that even though they are under renovation in other areas, they are still addressing day to day maintenance issues including painting on Unit 300. An interview was conducted with the MD on 1/25/19 at 10:25 a.m. confirmed that staff call the Maintenance Department for any issues such as lights that need replacing and other repairs that may be needed. The maintenance staff create a work order, prioritize and then assign the task. He also confirmed there is no process for routinely auditing resident room conditions. He stated that the housekeeping department manager contacts the maintenance department for any repairs or issues noted during their daily cleaning of resident rooms and common areas. He was unsure if the housekeeping department utilized any type of checklists. He confirmed that there isn't any type of written communication process between housekeeping and maintenance. An interview was conducted on 1/25/19 at 10:30 a.m. with the Housekeeping Director (HD). She confirmed that the communication her department has with maintenance is mostly verbal. She provided a copy of a two page form entitled Housekeeping Review that addresses the cleanliness of the resident rooms and/or common areas but does not specifically reflect any required observations for maintenance issues or concerns. She stated that she uses the form several times a month basis but confirmed it is not completed on every resident room or on a routine scheduled basis. The form states: Directions: Members of the quality action team will review specific areas of the facility. A mark in the 'no' column may indicate a problem. The form contains a list of 17 areas to observe and check yes or no with a space for comments. The end of the form includes a place to document Problems identified; Probably reasons for problems; Goals; Action plan; Responsible staff. The HD also provided a copy of a Daily Housekeeping Room Checklist that includes space for daily checks of three rooms for the following areas: Bathroom; Resident's Room; Curtains; Bedside Table; Window Sill; Furniture; Floors; Pantry. It also has space to note what housekeeper is assigned to the room and any comments/date. Observed and reviewed a clipboard located on the wall of the nursing station for 300 Hall/Unit with forms entitled Work Order Log on 1/25/19 at 12:50 p.m. The form has a place for the month and year to be written in. One sheet was labeled Sept. (YEAR) and contained entries dated from 9/13/18 through 12/10/18. A second sheet was labeled Dec. (YEAR) and contained entries dated from 12/11/18 through 1/25/19. There are no entries on either sheet concerning paint issues in resident rooms. During an interview conducted on 1/25/19 at 1:13 p.m. with the Administrator, she confirmed that she does not have a policy on conducting any type of environmental rounds or the routine monitoring of the condition of resident rooms. She stated the MD performs preventative maintenance in the building. | 2020-09-01 |