Premises Information


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Name

CUTHBERTSON VILLAGE

Address

3200 BISHOPS WAY LN

City/State/ZIP

CHARLOTTE

28215

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

8/27/2015

Final Score @ Grade

97.50

General Comments

12: Provide paper towels at B Laundry Room sink.36: Clean the drip pan of the ice dispenser in the Soda Shop. Some areas of the residential kitchens will be inspected 4 times a year with the main kitchen. Domestic refrigeration shall NOT be used to house facility provided bulk food. Grab and go style food, residents' personal food, and condiments are approved to be stored in domestic fridges.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
1	1	Floors easy to clean, no obstacles, drains where needed	No	No	No	Observed: Loose flooring in the 5 and dime. A rug in the restroom of 12D.Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).Floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. 15A NCAC 18A .1309 (a).
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Observed: A blocked hand washing sink in C Laundry and A Soiled Utility. A dirty toilet seat and lid in 20D. A loose toilet seat in 12D.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).Hand washing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d).
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed: Non bathing related items stored in the Spa shower stall. Debris collecting in the cabinet in the Soda Shop.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).