| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed severely water stain/damaged on floor tiles in bathroom 200, little minor here and there throughout the facility floor. PIC stated there was water damaged because of bursted pipes when cold weather hit last winter. |
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stain on ceiling in some rooms, conference room, 100 hallway. PIC stated it was not an active leak. It was old stain from previous management. Need repair and paint touch up and keep in good repair. Observed damaged wall where a soap dispenser fell off in 200 hallway bath, wall possibly cut or scratched from wheelchair in bathroom 123. Observed one room in 100 hallway, missing a based board on bottom floor. Need repair and keep in good repair. |
|
5
|
0
|
Ventilation equipment clean, good repair |
No |
No
|
No |
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dusts on the air conditioner filter in residents room. Need cleaning and keep clean. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose toilet seat in most of the rooms throughout the facility. Observed loose faucet handle in some room. Need repair and keep in good repair. Observed some toilets throughout the facility with pink/black line in toilet bowl, Need cleaning and keep clean. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water throughout the facility range from 117F-120F. PIC stated they just changed a system about two days ago. PIC will call the company to come out and adjust the water temperature to be between 105F and 116F to prevent burning hazard. VERIFICATION NEEDED ON 5/16/2023. |
|
18
|
0
|
Drinking fountains clean, good repair |
No |
No
|
No |
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed broken on around handle on water fountain in 100 hallway. Need repair or replace |
|
20
|
0
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed mildew on wall,ceiling, splash guard in the ice machine in 200 hallway. Need cleaning and keep clean. |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULES. No point deduction. Discuss the topic with staff and provided Employee Health Policy poster at the time of inspection. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. NEW RULE. No point deduction. Discuss the topic with staff and provided Vomitus and diarrhea poster at the time of inspection, The facility need obtain the actual kits ready for such an event. |