Ordinary Lifestyles

Based on record review and interview, the manager failed to ensure that the health care institution implemented tuberculosis infection control activities that included annually providing training and education related to recognizing the signs and symptoms of tuberculosis (TB) to individuals employed by the health care institution. Findings include: 1. Review of the record for E1 failed to reveal documentation indicating that annual training related to recognizing the signs and symptoms of TB had been completed. No TB training documentation was available for review. 2. Review of the record for E2 failed to reveal documentation indicating that annual training related to recognizing the signs and symptoms of TB had been completed. No TB training documentation was available for review. 3. During an interview, E1 acknowledge that the required documentation was not available.

Based on documentation review and interview, the manager failed to ensure that the health care institution established, documented, and implemented tuberculosis infection control activities that included annually assessing the health care institution's risk of exposure to infectious tuberculosis. Findings include: 1. Review of facility documentation failed to reveal an annual assessment of the health care institution's risk of exposure to infectious tuberculosis. 2. During an interview, E1 acknowledged that the required documentation was not available for review.

Based on documentation review and interview, the manager failed to ensure that a disaster drill for employees was conducted on each shift at least once every three months and documented. Findings include: 1. Facility disaster drill documentation revealed that the last disaster drill was conducted on January 9, 2023. No other disaster drill documentation was available for review. 2. During an interview, E1 acknowledged that documentation failed to reflect that employee drills were conducted on each shift, at least once every three months.

Based on observation and interview, the manager failed to ensure that at least one bathroom is accessible from a common area and contains the following: soap in a dispenser accessible from each sink, and paper towels in a dispenser or a mechanical air hand dryer. Findings include: 1. Observation of the common hall bathroom revealed no paper towels in a dispenser or a mechanical air hand dryer and no dispensable soap. 2. During an interview, E1 acknowledged the bathroom did not contain dispensable soap.

Based on observation and interview, for a resident bathroom that is not in a residential unit and used by more than one resident, the manager failed to ensure that the bathroom contains paper towels in a dispenser or a mechanical air hand dryer. Findings include: 1. Observation of the common resident bathroom used by R4 and R5 revealed no paper towels in a dispenser or a mechanical air hand dryer. 2. During an interview, E1 acknowledged that the resident bathroom was used by more than one resident and did not contain the required supplies or equipment.