Premises Information


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Name

PINES AT DAVIDSON, THE

Address

400 AVINGER LN

City/State/ZIP

DAVIDSON

28036

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/26/2018

Final Score @ Grade

General Comments

NO POINTS DEDUCTED #28 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).Observed small laundry room (1st floor) having storage of clean linen / patient contact items / wheel chairs all co-mingled in one room. #33 Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained pillow case in resident room.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling tile in janitorial closet damaged in need of replacing on 2nd floor; Observed wall in SPA on 1st floor damaged in need of repair; Observed walls scuffed in dining room on first floor in need of touch-up painting.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet room on 2nd floor nearest elevator heavily soiled in need of cleaning (conducted during inspection).