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

11/2/2016

Final Score @ Grade

95.50

General Comments

General Comment: #5. Observed some debris under top of heating and cooling unit in room 101. Observed some slight dust accumulation on vent covers and return air covers in hallway area. Clean area under cover on heating and cooling units. Wipe/dust ceiling return air vent covers and ventilation covers.*** Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). #12. Observed soap missing from soap dispenser in bio hazard room on 100 hall. Soap placed in dispenser at time of inspection. Keep soap and paper towels at all hand washing sinks at all times.*** Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d). #21. Replace missing drain plug on trash dumpster.***** All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). #32. Touch-up foot boards on beds and hand washing sink cabinet which varnish/sealant has worn off and exposing bare wood surfaces.**32. 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). Mr. Nickolas Kanitz and Ms. Karla Gunnon present at time of inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Tightly secure loose rubber cove base molding in bio hazard room on 100 hall. Repair wall and base board in bathroom connecting room 133 with adjoining room. Touch-up paint walls and door framing throughout in rooms and bathrooms where needed. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
10	1	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Observed several urinals and basin for bedside commodes not properly labeled. Label items with residents name and date. Label the basin and item itself and not the bag. Observed marking coming off of several bags that urinals were stored in. Recommend labeling labeling basin with name and not 200A and 200B. Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
14	1	Disinfectant accessible, properly used	No	No	No	Provide disinfectant spray in common bath/showers at all times. Today only disinfectant wipes provided in bathroom on 100 hall. Provide approved disinfectant in spray bottles so shower walls, floor, shower beds, etc can be spray down and disinfected. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
28	1	Adequate storage, area clean, items properly stored	No	No	No	Observed med cups and single service cups(styrofaom) not properly stored in closet on 100 hall and social parlor on 100 hall. Observed single service articles lid not properly stored/covered in nourishment room/closet. Store cases of single service articles off the floor in storage room. Do not store styrofoam cups loosely and sitting on table in social parlor. Observed several bagged items stored on the floor in closet on 200 hall. Store items on shelving. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
35	0.50	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Replace cut mattress in room 133. Discard and replace damaged pillow in room 101. Observed briefs stored on the floor in room 101. Do not store or place briefs on the floor. Store briefs on shelving or on top of closet cabinet in room. Discard and replace any linen with holes present. Observed small hole on fitted sheet on resident bed in room 101. General Comment: Provide documentation from laundry vending service where clothes washer machine is being serviced and providing a chlorine reading when tested. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).