Facility I.D. Number 0042317
1145 Frank St.
Galesburg, IL 61401
Survey Date: 03/05/01
Annual Licensure Survey
Hot water available to residents at shower, bathing and handwashing facilities shall not exceed 110 degrees Fahrenheit.
Protective measures, such as but not limited to, installation of a mixing valve, limited access to controls, and checking water temperatures daily at various points, shall be implemented to ensure that the temperature of hot water available to residents at shower, bathing and handwashing facilities shall not exceed 110 degrees Fahrenheit.
The REQUIREMENTS are not met as evidenced by:
At 9:00 a.m. on 02-26-01 during the initial tour of the facility it was noted that in the bathroom attached to the first room toured (A-1) on the A Wing that the hot water temperature at the handwash sink measured one-hundred-forty-eight (148) degrees Fahrenheit. At the same part of the tour the hot water temperature at the bathtub in that location was tested and recorded a temperature of one-hundred-forty-six (146) degrees Fahrenheit on the surveyor's thermometer.
In succession the hot water temperatures at one (1) location on each of the other three wings serviced by this hot water system were checked and found to be in excess of one- hundred-ten (110) degrees Fahrenheit. Metal stem thermometer No. 2-B was used to record all of the hot water temperatures. Metal stem thermometer No. 2-B was ice water calibrated to thirty-two (32) degrees Fahrenheit at 1:10 p.m. on 02-26-01 at the facility.
Time and temperature locations are listed below.
(a) At 9:00 a.m. a temperature of one-hundred-forty-eight (148) degrees Fahrenheit was recorded at the handwash sink in the bathroom attached to resident room No. A-1 on the A Wing. At the time of the temperature recording resident who occupies this room was not in the room or the bathroom.
(b) During the same part of the tour in the same bathroom the hot water temperature at the bathtub recorded one-hundred-forty-six (146) degrees Fahrenheit.
(c) At 9:05 a.m. a temperature of one-hundred-forty-one (141) degrees Fahrenheit was recorded at the handwash sink in the bathroom attached to resident room No. B-1 on the B Wing. At the time of the temperature recording resident who occupies that room was not in the room or the bathroom.
(d) At 9:10 a.m. a temperature of one-hundred-forty-two (142) degrees Fahrenheit was recorded of the hot water at the handwash sink attached to resident room No. E-2 on the E Wing. At the time of the recording of the hot water temperature it was observed that resident R44 was dressed and resting in bed in this room. A review of resident R44's record indicated that R44 is confused at times. It was also noted that R43 was not in the room or the bathroom at the time.
(e) At 9:15 a.m. a temperature of one-hundred-forty-five (145) degrees Fahrenheit was recorded of the hot water at the middle handwash sink in the Mens Common Bathing Room on the D-Wing.
(f) During the same part of the tour in the same location the hot water temperature at the middle shower stall was recorded at one-hundred-forty-two (142) degrees Fahrenheit. At the time of the recording resident R23 entered the room and used the toilet and left the room without using either the handwash sink or shower. Review of R23's record indicated that the resident is alert and oriented.
At 9:20 a.m. on 02-26-01 the facility's Administrator (E1) was notified of the hot water temperatures that had been recorded and they indicated "they had been working on it several days". At 9:25 a.m. the facility's Maintenance Person (E3) was interviewed as to the hot water situation and indicated that they were informed by staff (unidentified) at that time of their entrance to the facility that there were hot waters which needed attending to. The surveyor asked E3 if they had kept a log of hot water temperatures and was told yes and the log was presented to the surveyor for review. The review of the facility's hot water log indicated that the last hot water temperatures recorded were on 02-12-01. A copy of the log was provided upon request.
Interview with E3 revealed that they had been taking the hot water temperatures all along, but that they just had not been writing them down in the log and that the temperatures were always OK.
At 9:35 a.m. on 02-26-01 the facility's medical records person (E23) was observed posting hot water warning signs at resident access hot water locations on the D Wing. At 9:45 a.m. the facility's administrator (E1) indicated that they had notified all of the Certified Nurses' Aides of the hot water temperatures and that the staff had posted hot water warning signs at all of the resident access hot water locations in the facility.
At 9:50 a.m. on 02-26-01 it was observed that there was a person in the room on the D Wing that contained the hot water heater that the facility's maintenance person (E3) had designated as that which serviced all of the hot water locations that were accessible to the residents. Interview with E3 revealed that the person in the hot water heater room was E3's father who was also a maintenance person by trade and that they were adjusting the mixing valve on the hot water system. It was observed that there is a mixing valve and a recirculating pump on the hot water system.