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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 |
|
|
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 wall/baseboard damage in clean linen closet, 2nd floor. Splatters on walls/ceilings in 3rd floor nourishment room. Clean linen room 2nd floor, many very water stained ceiling tiles. |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant and cleaner stored in spa rooms. |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountains with scale in nozzles. Fountain with a divergent stream, end of hall near room 267. |
|
19
|
1
|
Ice protected, dispensed, equipment clean in good repair |
No |
No
|
No |
Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed build-up on ice machine chute, nourishment room 3rd floor. |
|
25
|
1
|
Approved pesticides properly stored and handled |
No |
No
|
No |
All pesticides shall be handled and stored in a manner that avoids health hazards. See rule .1317 (b). Observed spray bottle labeled as sanitizer, contents actually degreaser. Keep spray bottles correctly labeled with actual contents of bottle. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
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 roll on and solid deodorants in both spa rooms. Keep skin contact items stored in patients room and not in cabinet in spa room. |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed wheelchair feet stored on shelf with clean linen in clean linen room, 3rd floor. |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b). Observed staff drinks and food stored with/above facility food. Observed opened, unlabeled candy bar put back into refrigerator. |
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