| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Observed damaged floor tiles around floor drain in 200 hall common bath/shower. Observed missing grout between floor tiles in 200 hall common bath/shower. Observed damaged and missing floor tiles in 100 hallway social parlor. Observed cracked/damaged floor tiles in 200 hallway. Replace damaged floor tiles in shower and hallway area. Regrout floor in bath/shower area. Replace damaged and missing floor tiles around base of floor in social parlor. Clean floor under desk area in activity room. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Touch-up paint/repaint throughout in resident rooms, bathrooms, door framing and storage closet. Observed water stain on ceiling in room 109 ,126 and 214. Monitor ceiling for any roof leaks and repair if needed. Clean wall in 121 bathroom. Repair wall behind bed in room 101. Repair wall beside/behind ice machine in nourishment room located on the 100 hall.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed ceiling ventilation in hallway dusty. Observed top covers on heat and cooling units throughout in some room soiled and debris under top covers. Clean ceiling ventilation and cover on heating and cooling units within rooms. Clean area under top covers on units.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). |
|
10
|
1
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed bed pans and urinals not labeled throughout in residents room and bathrooms. Label bed pans and urinals with residents name and date.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). |
|
19
|
1
|
Ice protected, dispensed, equipment clean in good repair |
No |
No
|
No |
Observed ice machine soiled on the 200 hall. Observed ice scoop holder soiled in nourishment center on both 100 and 200 hall.. Observed microbial growth present in base of ice scoop holder. Thoroughly clean interior of ice machine and ice scoop holder.Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed base of drawers on med carts soiled. Observed single service articles not properly stored on med carts and in nourishment centers. Observed med cup, water cups and pill crusher stored in cardboard box. Observed single service articles stored with scissors, alcohol pad and suppository. Store single service articles inverted down and covered. Do not store alcohol wipe, scissors and suppository with or near single service articles. Do not store single service articles in cardboard box. Store single service articles in a plastic zip loc bag or plastic container. Store single service articles in nourishment center in plastic sleeving. Do not store or place single service articles under plumbing fixture in med room on 100 hall. Thoroughly clean pill crushers on 100 hall. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repaint or restain head board and foot boards on beds. Observed stain worn and coming off of head and foot boards throughout in residents rooms. Tightly secure television shelving in room 109. Replace missing handles on closet doors in residents rooms. Thoroughly clean chairs in resident room and social parlors or replace if stains does not come off of chair covering. Replace damaged padding on physical therapy table. Do not attempt to tape over damaged area. Tape adhesive can serve as a medium for bacteria growth. Repair damaged arm rest and seat in wheel chair 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). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Observed clean linen and pillow stored on shower bed in common shower on 100 hall. Do not store or place clean linen in common shower/bath. Do not store clean linen on shower bed! Store clean linen in clean linen closet or in resident room. |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed three boxes of gloves stored on shower bed in common bath/shower on 100 hall. Observed spray can of air freshener stored with wound care items in wound care med cart. DO NOT STORE OR PLACE GLOVES ON SHOWER BED! DO NOT STORE HAZARDOUS PRODUCTS WITH WOUND CARE ITEMS!Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). |