Premises Information


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Name

CHARLOTTE HEALTH AND REHABILITATION CENTER

Address

1735 TODDVILLE RD

City/State/ZIP

CHARLOTTE

28214

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

1/22/2014

Final Score @ Grade

General Comments

3: Wall damage in the Lobby Restroom. Window sill damage in 109. Damaged wall in 100 Hall Housekeeping. Ceiling damage in House Laundry.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.21: Some trash and leaves collecting in dumpster area. Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c).30: Single service spoons on a med cart with the handles down. Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).32: Damaged chair in Social Parlor.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).40: Staff fridge not labeled as such in Activity. Label "staff". Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).42: Food sitting out at room temp in the 100 Hall Nourishment Room. Food was removed from Kitchen at 8:30. Food shall be served or discarded by 10:30. Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)Provide documentation that the Whirlpool Disinfectant is EPA registered as a Hospital Grade Disinfectant. Linda Mechling present.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
5	1	Ambient air temperature 65 to 85 F, equipment clean	No	No	No	Observed: Dirty AC slats in 109, 108, and 210. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Repeat: Observed: A dirty toilet seat in 109 and 108. A damaged sink stopper in 108. Dirty bathing equipment in the 200 Hall shower room. Broken sink fixture in the 200 Hall shower room. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Observed: Urinals not cleaned after use in 231. The urinal cleaned in the resident sink in 231. All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).Where facilities for cleaning bedpands/urinals are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c).
14	1	Disinfectant accessible, properly used	No	No	No	Observed: No disinfectant in the 200 Hall shower room. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
15	2	Approved water supply, no cross-connections	No	No	No	Repeat: Observed: No backflow prevention devices on the 100 Hall mop sink hose bib (left) and on the shower wands in Shower Rooms. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed: Patient care items within 8" of the floor in Outside Supply, 200 Hall Supply, and 100 Hall Supply. Food below the sink in Activity. Single service cups not protected in the Dining Hall. Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Observed: The microwave with splatter in the 100 Hall Nourishment room. The interior of the freezer dirty and the interior of the cooler dirty in the 200 Hall Nourishment room. Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).