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

5/17/2019

Final Score @ Grade

General Comments

NO POINTS WERE TAKEN FOR THE FOLLOWING: #3 - Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed stained ceiling tile by storage room on 1st floor, as well as a hole in the wall of therapy storage room.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Repeat. Observed pink buildup under shower seat in room 234, as well as pink buildup on showerhead in room 217.