|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed wall damaged behind head board on residents bed. Repair wall behind resident head board throughout facility where needed. Reattach loose rubber cove base moulding under heating and cooling unit in room 110. Observed microbial growth on lower section of wall under heating and cooling unit in room 101. Address any leaks that may be causing wall damage under heating and cooling unit and repair and repaint wall. Touch-up paint throughout facility where needed; if needed.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. All walls shall be easily cleanable. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed pitted faucet fixture on hand sink in room 119 and 104, floor tile missing around shower drain in common bath on 100 hall and lower section of shower wall missing tiles in common bath on 200 hall. Replace pitted faucet fixture on hand sink in room 119, 104 and monitor other faucet fixtures on hand sink throughout facility and replace if needed. Shower wand in room 119 cleaned at time of inspection. |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed torn/damaged chair and stain on chair in lobby area, damaged over bed tables, foot board on bed and night stands with exposed pressed board/wood, stains on chairs in resident room and damaged drawers on storage closet in residents room. Replace torn chairs in lobby area. Clean stains from chairs or replace chairs. Replace damaged over bed tables. Apply varnish/stain to exposed pressed board/wood on furniture/fixture and repair drawers on storage closets in resident room.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). |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed cushion/arm rest on jerry chairs damaged and damaged padding on physical therapy table. Repair or replace damaged jerry chair and padding on PT table.Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). |
|
36
|
2
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed plastic cups with moisture between cup stored in cabinet area of activity kitchen. After talking with activity director she informed me that cups were clean at sink in activity kitchen. The only sink in activity kitchen is a hand washing sink. Utensil washing of cups and other utensils could be done in activity kitchen if kitchen had a two compartment sink and separate hand washing sink.All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619.Activity kitchens or nutrition stations that are not approved to clean food service utensils and equipment shall return all food service utensils, equipment, and utensils not continuously subjected to high temperatures to the kitchen after each use to be washed, rinsed, and sanitized. 15A NCAC 18A .1320 (b). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed food products stored in activity refrigeration with no name or date. Label food products with resident/staff name and date. Any food made in activity kitchen need to be used and discarded the same day. Activity kitchen is limited to 12 residents or less. Food kept in refrigeration unit after activity made be used by another resident in facility that is not part of the original 12 participating in that activity.Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b).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). |