| 8 |
PINE LODGE |
515001 |
405 STANAFORD ROAD |
BECKLEY |
WV |
25801 |
2017-06-02 |
253 |
E |
1 |
1 |
ELSQ11 |
> Based on observation and staff interview, the facility failed to provide housekeeping and/or maintenance services necessary to maintain a comfortable and sanitary interior. This was evident for fifteen (15) of thirty-four (34) rooms observed during Stage I of the Quality Indicator Survey. Cosmetic imperfections or items in need of repair and/or cleaning in resident rooms included discolorations of the toilet bowl jets, debris noted on the floor for prolonged period of time, window sills and/or window blinds dirty/dusty in need of cleaning, a sliding curtain type bathroom door with a black-colored substance on the bottom portion, caulk missing around a toilet base, veneer missing from a bathroom door with the wood or particle board beneath it visible, cove base pulled away from the wall in a bathroom, the inside of a wall heating unit had a dirty vent with loose debris, and a piece of wallpaper not adhered to a wall. Affected rooms included room #101, #102, #103, #104, #105, #106, #111, #118, #126, #128, #129, #134, #141, #142, and #163. Facility census: 116. Findings include: a) Stage I findings During Stage I of the Quality Indicator Survey on 05/15/17 and on 05/16/17, thirty-four (34) resident rooms were observed. Of that number, fifteen (15) rooms were found with concerns related to maintenance and/or housekeeping issues. The identified rooms were toured with Housekeeping Manager (HM) #83 on 05/17/17 between 3:00 p.m. and 3:30 p.m., and with Maintenance Supervisor (MS) #88 between 3:30 p.m. and 3:45 p.m. Identified concerns were: - Room 101 The water jets in the toilet looked dirty. During a tour on 05/17/17, HM #83 said they had been using a type of acid-base cleanser to try to remove the discoloration as other products have not worked as well. A small piece of tissue lay on the floor at the head of the bed next to the window. Beneath that bed was what looked like a broken piece of hard, white colored vinyl. These objects were first observed on the floor on 05/16/17 at 11:14 a.m. On 05/17/17 at approximately 3:00 p.m., HM #83 removed the tissue from the floor and the broken piece of vinyl from beneath the bed. She said it was a broken piece off a coat hanger. - Room 102 On 05/17/17 during the afternoon tour, HM #83 agreed that the toilet bowl jets looked dirty, and the window blind was dusty and the window sill dirty. She said she thought perhaps some sheetrock fell on to the window sill. She said housekeeping staff would attend to those issues. - Room 103 During the afternoon tour on 05/17/17, HM #83 agreed the window blind was dusty and needed cleaned. There was a pile several inches thick of an unknown substance that resembled bird seed in the right lower corner of the window sill. HM #88 did not know the origin of that substance or what it was, but said they would clean it right away. - Room 104 On 05/17/17 during the afternoon tour, HM #83 agreed the window blinds were dusty and needed cleaned. Also, behind the bed by the window lay a silver hair barrette next to the cove base which was first observed on 05/16/17 at 11:32 a.m. About a foot away was a bunch of food particles that went up to the cove base behind the first bed by the door. The food particles were first observed on 05/16/17 at 11:32 a.m. HM #83 said she would speak to housekeeping staff about more thorough sweeping of the rooms. - Room 105 During the afternoon tour on 05/17/17, HM #83 agreed that the outside of the window sill was dirty and needed cleaned, and that the water jets in the toilet bowl looked dirty. - Room 106 On 05/17/17 during the afternoon tour, HM #83 agreed that the window blinds were dusty and needed cleaned, and that the water jets in the toilet bowl needed cleaned. - Room 111 Observations during Stage I of the survey on 05/15/17 at 3:24 p.m. noted the privacy curtain had some soiled areas. During the afternoon tour on 05/17/17, the privacy curtain was clean. - Room 118 During Stage I of the survey on 05/16/17 at 11:28 a.m., the privacy drape had areas where it was dirty. The privacy curtain was found to be clean on 05/17/17 during the afternoon tour. HM #83 agreed the window blinds were dusty and needed cleaned. - Room 126 On 05/17/17 during the afternoon tour, MS #88 agreed the sliding curtain type of bathroom door was soiled with a black mold-like substance on the bottom portion of the curtain. He said the curtain would have to be replaced as there was no way to adequately clean it. Also, during Stage I of the survey on 05/15/17 at 2:41 p.m., the floor was littered with two caps for gastrostomy tube syringes, a blue cap, and a lipstick tube cap. Those items were no longer present during the afternoon tour on 05/17/17. - Room 128 At approximately 3:30 p.m. on 05/17/17, MS #88 agreed the caulk on the front section of the commode base was missing. He said he would repair it right away. - Room 129 At approximately 3:35 p.m. on 05/17/17, MS #88 agreed some veneer was missing from the front of the bathroom door, which allowed the wood or particle board beneath to show through. He said he would repair this right away. - Room 134 At approximately 3:40 p.m. on 05/17/17, MS #88 agreed that a section of cove base or molding had pulled away from the wall on the left side of the wall behind the bathroom door. He said he would repair this right away. He also agreed that there was dirt in the corner behind the entrance room door where it had not been cleaned in that section. - Room 141 During the afternoon tour on 05/17/17 with HM #83, she agreed that the window sill was dirty and the blinds dusty. - Room 142 On 05/1717 during the afternoon tour, HM #83 agreed that the window blinds were dusty and needed cleaned. - Room 163 During the afternoon tour on 05/1717, MS #88 agreed the vent on the inside of the room's heating/cooling unit was dirty with loose debris. He said maintenance took care of the inside of the units, and he would make sure it was cleaned. Also, a small section of wallpaper inside the room near the floor in one area was not adhering to the wall and was loose. MS #88 said that would be corrected right away. b) During a pre-exit interview with the administrator on 06/01/17, at approximately 7:00 p.m., it was discussed that maintenance and housekeeping had toured on 05/17/17 and all the environmental findings were discussed during an afternoon tour between 3:00 p.m. and 3:45 p.m. with HM #83 and MS#88. The administrator acknowledged her awareness of the environmental tour on that date. |
2020-09-01 |