Transcription of Plan of Correction - | doh
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Plan of Correction - | doh
DEPARTMENT OF HEALTH AND HUMAN SERVICESCENTERS FOR MEDICARE & MEDICAID SERVICESSTATEMENT OF DEFICIENCIESAND PLANOF CORRECTIONNAME OF PROVIDER OR SUPPLIERJEANNE JUGAN RESIDENCE(X4) IDPREFIXTAG09E020 SUMMARY STATEMENT OF DEFICIENCIES(EACH DEFICIENCY MUST BE PRECEDED BY FULLREGULATORY OR LSC IDENTIFYING INFORMATION)F 000 INITIALCOMMENTSAn annual recertification survey was conductedJanuary 11 through 12, 2007. The followingdeficiencies were based on record review,observation and interviews with facility staff . Thesample included 10 residents based on a censusof 39 residents on the first day of survey andthree (3) supplemental 253 i (h)(2) housekeeping /MAINTENANCESS=DThe facility must provide housekeeping andmaintenance services necessary to maintain asanitary, orderly, and comfortable REQUIREMENT is not met as evidenced byBased on observations during the environmentaltour, it was determined that facility staff failed toprovide housekeeping and maintenance servicesto maintain a sanitary and comfortableenvironment as evidenced by: soiled/dusty bedframes, a mechanical lift, floors, carpets, exteriorwindows, marred doors and dining room chairs,and peeling paint on the windows.
F 253 1. Housekeeping Staff dusted and sanitized the bed frames in Rooms 1204, 1206, 1401, 1415, and 1421 on 1/12/07. 2. Housekeeping Staff will dust all bed frames as part of their daily cleaning. On sheet changing days they will also clean and sanitize the bed frames of all the beds. This is part of the routine cleaning plan every other week. 3.
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