|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water stained ceiling tile on hall B and in room 240 resident's toilet. Replace stained ceiling tile. Observed debris on wall in activity room/kitchen. Clean and wipe down wall. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed bathroom tissue holder broken in main toilet. Observed soiled toilet seat in rooms 240, 230, & 218. Observed loose toilet seat in room 218. Repair or replace.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower in rooms 230 & 224 in need of cleaning. Clean shower. |
|
26
|
1
|
Premises clean, no breeding places or rodent harborage |
No |
No
|
No |
There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c).
Observed roach crawling on the wall in room 240's toilet.
Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment
and to prevent their breeding or presence on the premises. |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed ripped/torn pillow in rooms 233, 240 (both beds), and 230. Observed soiled/stained privacy curtain in rooms 240 & 224. Replace with clean curtains and replace all ripped pillows. Remove pillow off the floor in room 233's closet. PIC removed off floor. |
|
33
|
2
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Observed soiled/stained blanket on resident's bed in room 233, soiled/dirty linen on resident's bed (B) in room 240. Relpace with clean linen. |
|
35
|
1
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Soiled patient contact items shall be taken to a designated area for cleaning and shall be stored separately from clean items. 15A NCAC 18A .1319 (c). Observed resident's clothing on the floor in closet in room 230. Observed resident's diaper on the floor in closet in room 233. Observed resident's bed pad on the floor in linen closet. PIC removed off floor.
Observed soiled pillow case on resident's bed in rooms 230 & 218. Replace all dirty pillow cases and linen with clean linen. |