CROWN HAVEN HEALTH AND REHABILITATION

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed floor tiles damaged in main laundry room. Observed minor damaged to flooring throughout building. REPEAT VIOLATION.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet not flushing in rooms 208 and 303. Observed shared shower room near 300 hallway with some shower tiles damaged. Observed general cleaning needed to tub in shared shower room near 300 hallway. REPEAT VIOLATION.

.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed urinals not labeled in rooms 208 and 312. -General comment.

.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed 1 large box and several blue crates stored outside dumpster area. -General comment.

.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. Facility wash’s common linens together. During time of inspection, service report for Ecolab (facilities servicer) could not be located. EHS advised facility to start keeping a copy of their service report. -General comment.

.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food brought into facility not labeled in both nourishment room refrigerators within facility. REPEAT VIOLATION.

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed tile flooring in laundry room with some tiles missing/damaged. Observed some baseboards missing to walling in laundry room. -General comment.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed wall damage throughout building to include laundry room, patient rooms, and main walkways. REPEAT VIOLATION.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removed AC vents attached to HVAC units in the following rooms with heavy dust accumulation: 110, 511, and 609. -General comment.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed cleaning needed to tubs in both shared spa rooms within facility. Observed trash overflowing onto the floor in shared spa room on unit 300. Observed 1 shower mat rusted and with brown build up in unit 300 shower room. Observed hair, comb, and bottles of body soap in tub of shared spa room on unit 400. REPEAT VIOLATION.

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water at 121F in unit 400 shared spa room. Observed hot water at 119F in room 411. Observed hot water at 122F in room 110. REPEAT VIOLATION. Slight improvement from previous inspection report, water was not as hot.

.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed trash/litter behind dumpsters. Clean.

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed bottom half of curtain in room 110 with brown/yellow staining. -General comment.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed general cleaning needed to flooring under pull out drawers of refrigerator in both 300 and 400 nourishment rooms. -General comment.

.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food stored in nourishment room on unit 400 not labeled according to notated rule. REPEAT VIOLATION.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed to door frames throughout building. Observed baseboard peeling outside of room 206. Repair.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed general cleaning needed to both shared spa rooms within facility.

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed pillows stored in both shared spa rooms. Remove. -General comment.

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water throughout facility ranging between 128F-130F.

.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed blue pillow torn in room 608. General comment.

.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food stored in nourishment room on unit South not labeled. -General comment.