| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Observed: Several areas of flooring, at direct exit doors, with broken tiles. Broken shower floor tile in the 100 hall Spa.Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). |
|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed: Most AC unit filters dirty, in rooms inspected.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 |
Observed.: A damaged shower pad and a loose toilet base and toilet seat in the 100 hall Spa. A dirty toilet seat in 102. A damaged sink faucet in the 100 hall Soiled Utility room. A loose toilet seat in the 200 hall Spa.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: Bed pans not properly labeled in 214 and 223. Urinals dirty in 214. Bedside commode dirty in the shower stall in the 200 hall Spa.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).All bedside commodes shall be cleaned after each use. 15A NCAC 18A .1312 (c). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed.: No disinfectant available for the whirlpools. No spray disinfectant in the 200 hall Spa.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
26
|
1
|
Premises clean, no breeding places or rodent harborage |
No |
No
|
No |
Observed: Excessive amounts of old mattresses and equipment around facility.There shall be no fly or mosquito breeding places, rodent harborages, or un-drained areas on the premises. 15A NCAC 18A .1317 (c). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed.: Patient care related items on the floor in Outside Central Supply, within 8" in the 200 hall Supply Closet, and a box of socks on the floor in 200 hall linen closet.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed: Most beds with damaged head/foot boards. Interior/exterior of night stands with damaged. Lobby sofa collecting debris beneath cushions. Salon drawers dirty. Cabinet dirty in 200 hall nourishment.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
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed: Patient food in Nourishment fridges without dates.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). |