Health inspection·August 8, 2023

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and facility policy review, the facility failed to ensure eight (132, 126, 124, 125, 216, 212, 214, and 115) of thirteen resident bedroom privacy curtains observed were maintained to ensure a safe, functional, sanitary, and comfortable environment for residents. The findings include: 1. A visit to room [ROOM NUMBER] on 08/08/2023 at 10:28 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 2. A visit to room [ROOM NUMBER] on 08/08/2023 at 10:39 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 3. A visit to room [ROOM NUMBER] on 08/08/2023 at 10:44 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 4. A visit to room [ROOM NUMBER] on 08/08/2023 at 10:48 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 5. A visit to room [ROOM NUMBER] on 08/08/2023 at 11:06 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) During the observation, Resident #2 was interviewed and stated she couldn't remember the last time the privacy curtain was cleaned or replaced. 6. A visit to room [ROOM NUMBER] on 08/08/2023 at 11:18 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 7. A visit to room [ROOM NUMBER] on 08/08/2023 at 11:22 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) 8. A visit to room [ROOM NUMBER] on 08/08/2023 at 11:35 AM, found the privacy curtain in the bedroom area to have multiple reddish-brown splatters on it. (Photographic evidence obtained) During an interview with the Director of Environmental Services on 08/08/23 at 12:17 PM, he confirmed the privacy curtains listed above were stained. He explained that housekeeping was required to notify the floor technicians and maintenance when they came across a soiled or dirty privacy curtain. A work order should then be entered into the facility's work order system. The technicians and Page 1 of 2 105402 105402 08/08/2023 Bridgeview Center 350 S Ridgewood Avenue Ormond Beach, FL 32174

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some maintenance should clean and/or replace the privacy curtain upon notification of a soiled privacy curtain. His expectation was that work orders to replace a privacy curtain should be completed by the end of the business day. A review of the facility's policy titled: General Housekeeping, with effective date of 07/28/23 read, It is the policy of this facility to provide a clean, safe, orderly, comfortable and attractive home-like environment both indoors and outdoors. (Photographic evidence obtained) . 105402 Page 2 of 2