“An Immediate Jeopardy (IJ) began on 5/22/18 due to the Facility’s failure to ensure a chemical indicator was included in each sterilized pack to ensure successful sterilization; failure to ensure biological indicator tests were performed weekly; failure to maintain sterilizer logs which included the load number, contents, chemical indicator, and operator identification; and failure to ensure surveillance of the sterilization process.”
“On 5/18/11…OR #2 was inspected and observed with loose debris on the floor, a red stain on a wall and standing water in a small bucket. The last surgical day was 5/16/11.”