NAVION OF COTSWOLD

GENERAL COMMENT: 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 in big main laundry room need repair.

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 several spot throughout the building including rooms, spa, restrooms, laundry rooms need paint touching up, replace the ceiling vents. Keep the facility clean and in good 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 soiled toilet and tub need cleaning and keep clean in 307, 107, 117, 228. Observed broken toilet seat need repair or replace in 222, broken doorframe in bathroom 307 need repair. Caulking needed around hand sink in 3rd floor Laundry room. Disrepair toilet need repair or replace in memory care spa room. Hand sink in big main laundry room need repair or replace.

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. **Observed throughout the building wheelchairs, walkers, canes, extra mirrors stored spa rooms, and rehab bathroom. Only bath related items can be stored in bathroom and spa rooms at anytime.

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. ***Observed no soap and or paper towels at hand sinks in laundry rooms, 311, Med room 2nd floor, salon, memory care spa, 110. Ensure to provide all hand washing supplies at all hand sinks at all times.

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 in some parts of the building measured at 75F -93F. In the general all area take a very longer time at least 2 minutes to bring the required water temperature up to 105F. Ensure to provide water temperature throughout the building for residents between 105F -116F at anytime.

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 written water back up supply plan. EHS email the backup water supply checklist to PIC and maintenance at the time of 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 vomiting plan and kit on site upon request. EHS provided V&D poster to the facility at the time of inspection. The facility shall ensure to have a plan and kit ready to go for such an event.