cms_WV: 8013
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| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8013 | E.A. HAWSE NURSING AND REHABILITATION CENTER, LLC | 515173 | 18086 STATE ROUTE 55 | BAKER | WV | 26801 | 2012-10-23 | 323 | E | 0 | 1 | R9MR11 | Based on observation, staff interview, and policy review, the facility failed to ensure water temperatures in the resident rooms and/or common use rooms were adequately and/or accurately monitored. Following an observation of an extremely hot water sample from the sink in the training toilet room, the facility provided three (3) different thermometers that obtained three (3) different temperature readings when water temperatures were assessed simultaneously. Failing to ensure accurate assessment of water temperatures had the potential to affect more than a limited number of residents. Facility census: 56. Findings include: a) Measurement of the water temperature of the sink in the common toilet room on 10/22/12 at 3:30 p.m. found the water so hot that one could only keep a hand placed beneath the faucet comfortably for less than two (2) seconds. The Maintenance Supervisor, Employee #10, obtained a digital thermometer and found the water temperature to be 122 degrees. The water from the first shower in the same room was then checked by Employee #10, and was found to be 118 degrees. When asked, Employee #10 said the water should be between 110 and 120 degrees, and surmised the water was hotter than usual due to a resident having just completed a shower. He said he would make an adjustment and lower the water temperature right away. According to Table 1 in the Guidance to Surveyors for this requirement found in Appendix PP of the CMS State Operations Manual, a third degree burn can occur at 120 degrees with exposure of five (5) minutes, noting that burns can occur even at temperatures below that level depending on an individual's condition and the length of exposure. On 10/22/12 at 4:50 p.m., Employee #10 said he determined that his thermometer was broken, as he obtained a lower reading of the water in the shower and toilet room sink when using a thermometer obtained from the dietary department that was not digital. He said he had most recently checked water temperatures on Friday 10/19/12 with the digital thermometer, and said the digital thermometer was the one he always used. On 10/23/12 at 7:30 a.m., Employee #10 calibrated his digital thermometer and two (2) dietary non-digital thermometers in a cup of ice water. One (1) of the dietary thermometers was found to read high, and was unable to register anywhere near the freezing temperature. Next, the two (2) remaining thermometers (one (1) digital, and the other a dietary non-digital) were used to assess the temperature of a cup of tepid water. Finally, those same two (2)thermometers were used to assess the temperature of a cup of hot water. It was found there were different readings from the two (2) individual thermometers in each of the three (3) simultaneous tests. During another observation of the water temperature of the sink in the training toilet room, at approximately 7:30 a.m. on 10/23/12, the highest reading from either of the two (2) thermometers was 110 degrees. Also, the water temperature felt comfortable to touch, and a hand could be held beneath the running water from the faucet with no discomfort at all. During an interview with Corporate Employee #76, on 10/23/12 at 7:45 a.m., she said they would order a new box of thermometers, and would watch the water temperatures closely until the new thermometers arrived. Review, on 10/23/12 at 10:30 a.m., of the policy Weekly PM Inspections, with a revision date of 12/31/07, found the water temperature of the shower and in resident rooms, was to be 110 degrees. Review, on 10/23/12 at 10:45 a.m., of the policy Daily Preventative Maintenance Inspections, with a revision date of 10/01/12, found the water temperatures in the facility's common areas and resident rooms were to be checked daily, and were to be at 110 degrees. Review, on 10/23/12 at 10:45 a.m. of the policy Weekly Preventative Maintenance Inspection Record, with an effective date of 10/01/12, found water temperatures in the resident rooms and the shower were recorded on 10/05/12, 10/12/12, and 10/19/12. During an interview with Employee #10 at that time, he said the water temperatures were checked daily, but were only recorded once each week, on Fridays. | 2016-11-01 |