Missing Lavatory in Second Floor Bathing Room
Summary
The facility failed to meet the regulatory requirement of including a lavatory in each bathing room. During an observation on January 6, 2025, at 11:00 a.m., it was noted that the common bathing room on the second floor nursing unit did not have a lavatory. This deficiency was confirmed during an interview and further observation with the Nursing Home Administrator on January 8, 2025, at approximately 1:45 p.m., who acknowledged the absence of a lavatory in the specified bathing room.
Plan Of Correction
1. Facility is unable to retroactively correct not having a sink in the shower room. 2. Full house audit completed and all other shower rooms were assessed and are equipped with a sink and needed equipment. 3. Facility hired a contractor to come and evaluate the shower room for the installation of the sink. 4. Facility will install the sink in the second-floor shower room. 5. Sanitizer station placed directly outside of the shower room for use while waiting on installation. 6. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring and changes needed.
Penalty
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