Health inspection·February 13, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review the facility failed to provide daily sanitation of the facility and resident rooms during outbreaks of respiratory and gastrointestinal viruses. This failure has the potential to affect all 76 residents in the facility. Residents Affected - Many Findings include: Resident Room Roster dated 2/11/25 indicates there were 76 residents in the facility on that date. On 2/11/25 a tracking document presented by V3, ICP (Infection Control Preventionist) indicated between 1/25/25 and 2/3/25 23 residents were identified as having symptoms of nausea/vomiting/diarrhea and two residents (R4 and R8) diagnosed with Norovirus; nine residents identified as having respiratory symptoms including shortness of breath/cough with six residents identified positive for Influenza A and five residents positive for RSV (Respiratory Syncytial Virus). On 2/11/25 at 12:15pm V8, Housekeeping Manager was assisting R6 to change rooms by packing up R6's belongings. V8 stated, I'm the only housekeeper here right now, there are no other housekeepers in the building. One housekeeper would be coming in at 4pm and stay until 9pm. On 2/11/25 at 1:30pm V8 was still in the same room (R6's room), moving another resident into the room. V8 stated she has been Tied up making these room changes and hasn't been able to do any of the room cleaning or general facility cleaning. V8 stated the other dayshift housekeeper called in (non-illness related) and said, If someone calls in, we don't have anyone to replace them. They only allow me two staff per day, so I have one in the am and one in the pm. They each do one side of the building. I could help but not when I'm tied up like today. V8 stated it's difficult for the housekeepers to get an entire side of the building done even when the three of them are there. V8 stated, We should be doing enhanced sanitizing during an outbreak, but we can't even get the regular daily cleaning done. On 2/11/25 R3 and R7 (both reside on Southwest Wing) stated housekeeping does not clean their rooms every day. R7 stated she wipes down her tables and in the bathroom herself With whatever I can find to clean with. R7 stated she shares a bathroom with R3 who sometimes has bathroom problems and worries she might get sick because the bathroom isn't cleaned enough. On 2/13/25 R4 and R8 (roommates who reside on Northwest wing) stated that housekeeping sweeps the floor most days, But that's about it. On 2/11/25 at 3pm V2, DON (Director of Nursing) stated, We have addressed the housekeeping issue for weeks. We talk about the general lack of cleanliness in morning meetings. The Administrator is in Page 1 of 3 145000 145000 02/13/2025 Washington Senior Living 1201 Newcastle Washington, IL 61571

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many charge of hiring for that department and despite informing them 'nothing changes.' Some of the rooms are not clean and no one is doing sanitizing and sanitizing - especially all the high-touch surface areas - is really important because of all the contagious viruses that have been going around. Infection Prevention and Control Manual Environmental Services/Housekeeping/Laundry dated 2020 documents: It is the policy of this facility that the workplace will be maintained in a clean and sanitary condition with a written schedule of cleaning and decontamination based on the area of the facility, type of surface to be cleaned, type of soil present and tasks being performed in the area. Infection-control strategies and engineering controls, when consistently implemented, are effective in preventing opportunistic, environmentally related infections in immuno-compromised populations. Procedure: Horizontal Surfaces: Surfaces such as table tops, window ledges, bedside stands, counters, sinks, tubs, shower floors, toilet seats, floors, and all other surfaces will be cleaned daily using an EPA (Environmental Protection Agency) approved hospital grade disinfectant-detergent solution. These surfaces will also be cleaned as needed when spills or soiling occur. Other surfaces: Doorknobs, handrails, bath rails, sink handles, and surfaces will be cleaned at least once daily and more often as needed especially during an outbreak. Cleaning of walls, curtains, blinds, will be done when dust is visible and placed on a terminal cleaning program. Daily damp dusting will be done to minimize aerosolization of dust particles. High Touch Surfaces: Beds, bedrails, bedside table, call button, call button in bathroom, chair, closet handles, door handles, handrails, ledges, light cords, light switch, soap dispenser and sink, telephone, telephone cord, toilet, television remote, trash can, walls, wheelchairs, window blinds and window sills. Facility Housekeeping Procedure titled Everyday (undated) documents: All areas are required to be cleaned completely. Wipe down all doors and walls that are soiled. Remove all trash in each area to be cleaned. In each area put away all clutter (things that don't belong in that area) 145000 Page 2 of 3 145000 02/13/2025 Washington Senior Living 1201 Newcastle Washington, IL 61571

F 0880 Fill all supplies in each area. Level of Harm - Minimal harm or potential for actual harm Sweep and mop all areas. All housekeepers are to empty big gray barrels of trash 9am and end of shift. Residents Affected - Many Clean all windows if needed. Facility Housekeeping Procedure titled Every day When You Clean Rooms (undated) documents: Dust all surfaces. Wipe off bedside table. Empty trash. Clear all clutter from room. Make sure there is nothing under the bed. Fill all supplies. Clean window (if needed) Check doors and walls for soil (wash if needed). Sweep and mop entire floor. Always make sure you wipe off all light switches and door knobs. Facility Housekeeping Procedure titled Every day When Cleaning Restrooms (undated) documents: Dust off tops of paper towel and soap dispensers etc. Clean mirror; clean sink, clean toilet. Wash all doors and walls if needed. Remove all trash and clutter. Sweep and mop entire floor. Make sure all supplies are filled. Always wipe off all light switches and door knobs. 145000 Page 3 of 3