THE LAURELS IN HIGHLAND CREEK

.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 100-101F in rooms D104, D108, D111, C106, C101, and C203. Ensure hot water is between 105-116F. REPEAT

REPEAT 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 dust and debris on flooring underneath the bed in D 101,C 108, D 203 in needs of cleaning. Keep flooring clean.

REPEAT .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 slow drainage at hand sink in Med room second floor, A 103, restroom hallway second floor, Observed soiled toilet and sink in need of cleaning in D 101, D 114. Observed loose toilet seat needs repair in A 103. Keep toilet and hand sink clean and in good repair. Point remain the same due to improvement.

General Comment: .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no soap available at the hand sink in soiled utility room second floor. Ensure to provide all hand washing supplies at all hand sinks at all times.

REPEAT .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 temperature measured at 123F in Med room second floor, 119F in C 206, 125F at one end of the activity room/ and 117F at the other end of activity room. 118F in the salon. 119F in D 203, D 214. The facility shall provide water temperature between the range of 105F - 116F at any time. Points remain the same due to major improvement at this time.

General Comment: .1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter.- Observed the facility with vomiting and diarrhea written plan poster, however without the cleaning up kit. The facility shall obtain a kit and have it available for such an event at anytime.

REPEAT 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 dust/debris on flooring and underneath the beds, behind furniture in C207, A108, D101, D112, D214, D211, A212. Keep all floors clean and keep clean. Point remain the same due to improvement.

.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 slow drainage at hand sink second floor hallway restroom, B hall-med room, and A108. Observed soiled toilet in D214, D101, A108. Loose toilet seat in A 113. Soiled hopper and hand sinks in utility room. Clean/Repair/replace needed. Keep clean and good repair.

General Comment: .1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed wheelchairs, walkers, crutches, maintenance carts stored in spa room. Only bath related items in bathrooms/spa rooms.

General Comment REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no soap available at hand sink in soiled utility room. Ensure to provide all hand washing supplies at all hand sinks at all times. No point due to improvement.

REPEAT .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 temperature at some part of the facility measured at 117F- 118F. D 101, D112, C 207, B hall restrooms, activity room. The facility shall provide water temperature between the range of 105F - 116F. Points remain the same due to improvement.

REPEAT .1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountain in therapy room all around basin, spout, and drain. Detail cleaning needed. Keep clean.

.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use.- Observed one of the dumpster is missing a drain plug. Obtain a drain plug and put in place.

REPEAT 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 dust/debris on flooring and underneath the beds, behind furniture throughout the facility. Keep all floors clean and keep clean. Half point deducted due to improvement.

General Comment: .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels available at general hand sink in A 211, restroom E 208 and D 209. No soap available in a dispenser at general hand sink in E 208. Ensure to provide all hand washing supplies at all hand sinks at all time.

REPEAT .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 temperature throughout the facility measured out of required range either too low or too high. Some start off right at 115F and going down to 88F D hall 209. Some start low temperature at 88F and going up to 121F C hall 203. In restroom C 203 is 90F. E 208 at 141F. Restroom B hall at 84F. Med tech room at 57F. A 113 measured at 125F, A 105 measured at 140F. Salon room: 144F. Activity room 118F in one sink and the other is 142F. A 211 at 119F. B Hall 202 at 98F. C 103 at 91F, D 105 at 88F, and D 106 at 90F. The facility shall provide water temperature between the range of 105F - 116F. Points remain the same at this time.

.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountain in therapy room need better cleaning all around surfaces, spouts and crevices. Cleaning needed and Keep clean.

REPEAT 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 dust/debris on flooring and underneath the beds throughout the facility including laurel room and closets. Very soiled carpet in A 204. All floor need detail cleaning and keep clean.

REPEAT .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 damaged toilet chair/seat in D107, A204, soiled toilet in A105, rusted toilet chair in D206. Loose toilet seat throughout the facility. Repair/replace needed. Point remains the same at this time.

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.- Observed no hand washing sign in hall way staff/resident restroom. The wall was painted. Ensure to put hand washing signs to remind staff to clean their hands.

REPEAT .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 temperature measured 119F -131F in A209, A204, A104, Salon shop, Bistro hand sink. Ensure to provide water temperature between 105F - 116F.

.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountain need better cleaning all around surfaces, spouts and crevices. Keep clean.

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 flooring underneath the beds need details cleaning and keep cleaning throughout the facility.

.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 toilets, hand sinks, shower curtain need better cleaning and keep clean in A204, A213, D101. Observed clogged/slow drainage in hand sink in A106. Observed damaged cabinets under hand sink on upper floor empty break room near the elevator, need repair/replace. Observed a disrepair hair shampooing basin in the salon, need repair.

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 water temperature measured 89F in restroom hand-sink on A hall, 100F in C108, 101F in D101. Ensure to provide water temperature between 105F - 116F.

General Comment: .1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. - Observed the facility with an incomplete water backup supply written plan. EHS emailed the director of maintenance a backup water supply plan checklist via email at the time of inspection. The facility will work on and obtain a complete written plan for next inspection.

General Comment: .1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter.- Observed the facility without diarrhea and vomitus written plan and supplies. EHS provided a hard copy and email the plan to maintenance director at the time of inspection. Education provided.

.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 inside restroom on 1st floor near elevators damaged in need of repair and painting.

.1314 (b) Disposable, single-service utensils shall be used by only one person. Single service cups and utensils should be protected during storage. Observed single service drinking cups inside activity room at beverage station not protected having mouth contact surfaces exposed to contamination. (Sneeze spray / other sources)