|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Replace damaged shower pad on shower bed in 100 hall common bath. Clean spa tub in 100 hall and keep clean even if not being used. Thoroughly clean underside of shower pad in 200 hall common bath. Provide correct toilet tank lid for toilet in resident bathroom. Tighten loose toilet seats in resident bathroom. Tighten handle on hand washing sink faucet fixture in 110 bathroom. Repair or replace counter top back splash in activity kitchen.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). |
|
14
|
2
|
Disinfectant accessible, properly used |
No |
No
|
No |
Provide disinfectant in common shower at all time so shower fixture can be cleaned and disinfected between uses! Observed disinfectant solution missing from 100 common shower/bath.
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 |
NO STORAGE UNDER HAND WASHING SINKS. Observed storage under hand washing sink med room. Observed box of gloves stored on shower bed in 100 hall common bath. Clean shelving and base of drawers where single service articles are stored in nourishment room. Remove case of supplies off the floor in out side storage room. Observed extra equipment stored behind facility(chairs and bed). Store items in a storage shed or remove extra equipment from premises.
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
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
|
2
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed employee drink and food stored in drawers with medicine on med cart. Do not store or place personal drinks or food in drawers of med cart. Clean base drawers of med carts. Observed several loose pills in base of med cart. Observed single service articles not properly stored on and in med cart. Minimize the amount of single service article cups stored on side of med carts. Do not store multiple cups on top of med carts. Do not store storage bags on top of sharp container on med cart.
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 |
Continue to refurbish or replace damaged foot boards on bed. Tighten loose pulls/handles on drawer and closet doors. Replace damaged pillow in resident room. Clean spot on curtains separating resident bed. Replace damaged arm rest on wheel chair. Thoroughly clean tape from foot boards of beds. Thoroughly clean side railing on beds. Repair or replace damaged padding on PT table and equipment. 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). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Keep lid on soiled linen bin in soiled utility room! Observed lids missing from over soiled linen bins and lids stored in and on hand washing sinks. Label soiled linen bin in PT room and laundry room area.
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).
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Observed bag of clean linen stored on the floor in resident room. Do not store or place bags of clean linen on the floor!
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed food not properly labeled and stored in nourishment area refrigeration units. Label food brought into facility with resident/employee name and date food was brought into facility. Store food brought into facility below and away from food products provided by facility.
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). |