Inspection Details

Inspection #
INSP-0090481
Inspection Date(s)
7/3/2023
Status
Complete
Inspection Type
Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL11748H
Location Type

Initial Comments

The following deficiencies were found during the on-site compliance inspection conducted on July 3, 2023:

Statement of Deficiency

2 deficiencies found
Deficiency #1
✓ Plan Provided
Rule
A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;
Evidence
Based on observation and interview, the manager failed to ensure the hot water temperature was maintained between 95 \'b0F and 120 \'b0F in areas of the assisted living facility used by residents. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed the hot water temperature measured at 125.8\'b0 F in a shared bathroom adjacent to the living room. 2. In an interview, E1 acknowledged the hot water temperatures were not maintained between 95 \'b0F and 120 \'b0F.
Plan of Correction
Permanent Correction Date
2023-07-13
Deficiency #2
✓ Plan Provided
Rule
D. A manager shall ensure that: 7. If not furnished by a resident, each sleeping area has: f. Adjustable window covers that provide resident privacy.
Evidence
Based on observation and interview, the manager failed to ensure each sleeping area had adjustable window covers that provided resident privacy. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed a resident bedroom, marked bedroom #2 on the facility floor plan, had two resident beds. However, the bedroom did not have adjustable window covers. 2. During an environmental tour of the facility, the Compliance Officer observed a resident bedroom, marked bedroom #3 on the facility floor plan, had two resident beds. However, the bedroom did not have adjustable window covers. 3. During an environmental tour of the facility, the Compliance Officer observed a resident bedroom, marked bedroom #5 on the facility floor plan, had two resident beds. However, the bedroom did not have adjustable window covers. 4. In an interview, E1 reported the facility was in the process of replacing window blinds in the facility. E1 acknowledged the three bedrooms did not have adjustable window covers for resident privacy.
Plan of Correction
Permanent Correction Date
2023-07-13