|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed cleaning needed in the air filters of the AC units in the activity room, and room 210. Observed debris in vents in room 101 and 208.
**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 cleaning needed under shower chair in100 and 200 hall bathing rooms. Observed build-up on the bottom of the toilet chair in room 120. Observed toilet seat unattached from toilet in 200 hall bathing room. Observed leak in the pipe under the sink in the activity room. Observed a leak in the hand sink faucet in room 210.
**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) |
|
14
|
2
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed no disinfectant present in the 200 hall bathing room and shampoo instead of disinfectant hooked up to the disinfectant tube of the spa tub.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed single service cups being stored on the floor in the central supply room. Observed cup dispenser in nourishment room uncovered. Keep cups covered to prevent contamination.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
**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). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed build-up on the pill crusher on the med cart in the 100 hallway and a personal drink being stored in the bottom drawer on top of medicine. Observed clean gloves being stored directly on top of sharps container on the med cart on 100 hall way.
**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed a stain on the mattress in room 137. Observed tears in therapy beds in the therapy room. Observed build-up on the bottoms of bed trays in rooms 101 and 122. Observed cleaning needed on curtain separators in room 109 and 122.
**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).
**Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed stains on pillow and on sheets in room 109. Observed soiled sheets on the bed near the door in room 101, in room 224 and observed soiled blanket and sheets on the bed near the door in room 120. Observed an odor in the soiled utility hold closet on the 200 hallway due to soiled linen container being uncovered.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
**Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b). |