Premises Information


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Name

THE SHARON AT SOUTHPARK

Address

5100 SHARON RD

City/State/ZIP

CHARLOTTE

28210

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

12/12/2016

Final Score @ Grade

General Comments

No Points Deducted: Observed residue at the ice machine dispensing area in the 3 AL dining room. Keep all ice machines clean. 43. Observed no thermometer in room 362's refrigerator. Install a thermometer. 3. Observed a cracked wall tile in the large 2 HC shower room. Observed a wall with residue in room 272. Damaged wall in the 3 HC Clean Utility room. Keep all walls in good repair. 1. Observed a damaged floor tile at the door in the 2 AL tub room. Observed storage on the floor in room 277 (personal briefs), keep the floor accessible to cleaning. 4. Observed a non-functioning light in a 3 HC shower room. Maintain adequate lighting in all areas. 35. Observed hair brushes in the salon in need of cleaning, hair present. 31. Observed med cart drawers with a small amount of residue. Keep med carts clean. 12. Observed no hot water at the sink in the 3rd HC nourishment room. Maintain tempered water at all handwashing sinks. 36. Observed two microwaves with residue. Keep all food service equipment clean. 31. Observed a med cart with hand sanitizer stored with single service items. Store chemicals away from clean items. 34. Observed linen not protected in one shower room. Keep linen in a covered cabinet or on a covered cart when stored. 32. Observed one damaged pillow and one couch with debris. Observed one damage mattress. Keep furniture clean and in good repair.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Observed the following: Damaged shower chair and seat in shower room near room 375. Slowing draining sink in the 3rd HC sunroom. Loose toilet seat in 2 HC large shower room. Shower chairs collecting residue in large shower room on 2 HC. Rusted toilet seat with residue in room 272. Small bathtub with debris in 3 AL men's restroom. Loose toilet seat and shower wall with residue in room 267. Keep all handwashing, toilet, and bathing equipment clean and in good repair. 15A NCAC 18A .1312.
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Observed one bedpan not labeled. Repeat Non-Compliance. Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	Observed sunroom/dining room sinks with hot water above 116 F, at 120F. Observed hot water at the sink in the 2 AL tub room at 94 F. Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed the following: WD40 stored with single service items in 2nd floor Nurse station. Food and resident contact items under sewage lines in 2 AL, 3 HC clean utility. Utensils stored with trash bags in 3 HC sunroom. A damaged laundry room cabinet in 3 HC. Cups exposed to contamination (no cover) in 2 AL activity room. Mattresses stored on the floor in room 280. Hand sanitizer stored with condiments inn 2 HC sunroom. Gloves stored on the floor in the Central Supply cabinet. 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). Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed soiled and stained linen on beds in 272, 311, 267, 243. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
42	2	Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control	No	No	No	Observed milk in the 3rd HC sunroom at 51 F. Product discarded. All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a).