| 35 |
RYDER MEMORIAL HOSPITAL INC |
405018 |
355 AVE FONT MARTELO |
HUMACAO |
PR |
792 |
2019-05-23 |
880 |
D |
0 |
1 |
L8MV11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a recertification survey, observations and staff interview performed during the survey process from [DATE] thru [DATE] from 8:00 am thru 4:00 pm it was determined that the facility failed to comply with accepted infection control precautions and standards of practice. Findings include: On [DATE] at 1:00 p.m. till 4:00 p.m. true [DATE] at 8:00 am. till 4:00 pm. during the performed visual inspection on different resident's rooms and others areas of the skill nursing facility the following was found: 1. Upper part of the column that divides room [ROOM NUMBER] and 117 outside facing corridor was observed open space per the area where the emergency call system cables exit. 2. In the closets of resident's rooms 113, 114 and 115 were observed disposable abduption pillows. Rooms were empty at the time of visual inspection. 3. In resident rooms 101, 102, 104, 105, 106, 107, 108, 110, 111, 113 all dispensers of hand held paper were observed closed and empty. Rolls of hand held paper were observed outside the dispenser placed on the top of the soap dispenser. When the facility personnel, residents and visits perform hand washing they take the paper roll with wet hands cut a piece of paper they need and then place it on the top of the soap dispenser or on the surface of the area of the sink. The roll of hand paper becomes wet as soon as it is used which incurs cross-contamination. 4. All of the residents rooms, corridors and others areas, offices and recreative areas of the skill facility was visit and it was observed deteriorate floor, walls and ceilings. Broken and detached sockets, peeling paint on the walls were observed in residents' rooms and others areas of the skill nursing facility. 5. On [DATE] at 1:45 pm the regular and biohazard trash cans in room [ROOM NUMBER] was observed without identification label. 6. Equipment room used to offer physical therapy service does not have an identification sign. Was observed dirty, with mush dusty, humid smell, the ceiling was observed with black color apparently mold, broken and detached sockets, dirty walls and floor, frame and door deteriorated. On the left side of the entrance was observed a dispenser used to discard syringes inside it was observed garbage, one disposable abduction pillow and the plan of the facility. 7. On [DATE] at 2:00 pm the janitor room was visit and the floor was observed with dusty and dirty, mildew stains. Service sink with clogged cement material and dirty. All of the room included the roof was observed with dark spots, dusty and dirty. Absence of acoustic right side of the ceiling. 8. Yellow spots was observed in the ceiling in resident room [ROOM NUMBER]. 9. No paper dispenser in resident room [ROOM NUMBER] a roll of paper was observed in the top of the hand washing soap. 10. On [DATE] at 8:50 am the medication area was observed that the dispenser hand paper does not work, two rolls of paper are maintained on counter near the sink, one on the right side of the counter near the sink was observed wet. 11. On [DATE] at 8:45 am in the area of surgical medical equipment an Irrigation Tray with [MEDICATION NAME] Syringe Lot 37ZC01 with expired date on (MONTH) (YEAR) was found. 12. The daily record of the glucometer machine was not done on day [DATE]. 13. The daily record of the medication refrigerator was done on 2/ ,[DATE] the temperature was 28 F, [DATE] was on 25 F and in (MONTH) 17 and ,[DATE] the temperature was on 27 F, on [DATE] was on 28 F and [DATE] was on 29 F. According of the policies and procedures established the parameters for the refrigerator was to be maintain in 30 F to 40 F to maintain the medications, however no evidence of notification or intervention by the nursing staff to the technical to check changes in temperature that may affect the drugs. 14. On [DATE] at 9:55 am the license practical nurse (LPN) employee #9 during the procedure of treatment of [REDACTED].#10 in the ulcer care procedure. The LPN maintain a pair of gloves in her left hand and she maintain various gloves in her right pocked. A tube of Solocite fell on the floor, the LPN picked it up and placed it on the table of non-sterile materials however, she did not clean or disinfect the tube. Then she put a plastic apron washing her hands and dries, then she took two gloves from the pocket of her shirt and put them on. 15. On [DATE] at 1:31 pm the register nurse employee #13 enter at the resident case #230 room [ROOM NUMBER]A with tray to remove intravenous line. The nurse was observed placing gloves removed IV line then discarded line removed gloves but did not wash her hands before and after performing procedure. 16. The facility failed to comply with accepted infection control precautions and standards of practice. 17. During the Drug pass with the employee #9 on [DATE] from 8:00 am thru 9:30 am, it was observed that the RN #9 takes the Blood Presure to the resident that have medication to control the high blood pressure. During the procedure the RN failed to clean and desinfected the non critical equipment (Sphignomanometer) before and after used, due to she puts the equipment on the resident bed or resident table. |
2020-09-01 |