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|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Observed damaged flooring in 2nd floor central supply and 2nd floor fire doors. Sticky or soiled flooring, rooms 336 and 254.**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed slit in seat of shower chair, 2nd floor central shower. Corroded faucet fixtures, beauty salon. Sink needs cleaning of build-up behind fixture, 3rd floor hall bathroom. Water leak at spray arm, room 225. Tubs need to stay clean, even if not used. No hot water at hopper, 2nd floor laundry. Loose toilet seat, room 350. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
9
|
0.50
|
Toilet rooms free of storage, hand wash signs posted |
No |
No
|
No |
Observed general storage in several areas that contained a toilet.**Toilet rooms shall not be used for storage. See rule .1312 (b). |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed bedpan in room 366, no spray arm on toilet. CNA stated she rinses it in shower.**Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed no disinfectant in shower room near new offices. Empty disinfectant bottle in shower room, 3rd floor central shower. Unlabeled bedpans in rooms 225 and .**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). |
|
18
|
1
|
Drinking utensils properly handled |
No |
No
|
No |
Observed unlabeled water pitcher in room 225.**.Label all disposable water pitchers with the resident’s/patient’s first name and last name. 15A NCAC 18A .1314 (a). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed general storage below hand sink in PT room.**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed tear in bed cover, PT room. A couple of dusty blinds.**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). |
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