| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
1
|
2
|
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 damaged flooring in dining room. Observed glue on floor in 126 bathroom. Observed bathroom floors need cleaning in 111 and 104. Observed damaged tile in 100 hall. REPEAT. |
|
2
|
2
|
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 broken tile on wall in 200 bathroom. Observed paint peeling in 200 housekeeping, in 200 activity, bathroom of 203 and bathroom 212. Observed paint chipping in several doorways throughout. Observed damaged window sill in 126. REPEAT. |
|
7
|
2
|
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 shower floor needing cleaning in 100 shower. Observed toilet needing cleaning in room 111 and room 229. Observed toilet seat peeling in PT bathroom. Observed toilet chair rusting in 200 shower and in room 212. Observed hair washing sink nozzle in need of cleaning in salon. Needs cleaning/ repair. REPEAT. |
|
12
|
1.50
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed shower chair in shower rooms 200 and 100 with build up under seats. Observed shower beds with torn mats that are in need of cleaning in both shower rooms. Observed tubs in both shower rooms in need of cleaning. |
|
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 build up in ice machines in both nourishment rooms. Needs cleaning. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed water damage to cabinets under sink in Nourishment room 100. Observed torn mat table, trampoline cover, and chair on hand pedal equipment in PT room. Observed damaged counter top in salon. Observed bed laminate peeling in 229 and 126. REPEAT. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up in refrigerators in nourishment stations and activity kitchens. Observed build up in microwave in Nourishment 200. Needs cleaning. |
|
44
|
2
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed liquid food served with medicine that requires refrigeration after opening on med carts at 53F. Drink is kept in ice in coolers. Ice had melted and was not filled enough to maintain temperature. Needs to be kept at required temperatures. |
|
45
|
0
|
Hot and cold holding equipment provided; thermometers provided, accurate |
No |
No
|
No |
.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed not thermometer in physical therapy room fridge and in 100 hall activity room fridge. Needs thermometer. |