Premises Information


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Name

BROOKDALE CARRIAGE CLUB PROVIDENCE

Address

5804 OLD PROVIDENCE RD

City/State/ZIP

CHARLOTTE

28226

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

6/15/2018

Final Score @ Grade

General Comments

***Note*** Hallway on 2nd floor salon in process of being repaired. Facility had a sewage leak. Leak was repaired and facility hired a company to do repairs. Salon is not being utilized until floors, walls, and ceilings are complete.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Observed wall damage in biohazard room. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Observed hopper and sink soiled in biohazard room. Observed disposable toilet pan stained in room 232A. Observed toilet seat peeling and stains in shower in room 222. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed stain on folded sheet in room 231. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).