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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 |
|
|---|
|
8
|
2
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed shower bed with torn pad and not being properly cleaned on bottom side and mesh support. Shower chairs not cleaned on underside.**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). |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed unlabeled bedpans in 3 separate resident rooms.**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 hot water reaching 121F in room S-20.**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). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed disinfectant not accessible or bottles empty in most bathing rooms. Make sure the disinfectant is a hospital grade disinfectant could not find it on the paperwork.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed paper towels stored below hand sink. Box of diapers stored on floor.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**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). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed single service cups, spoons, pill cups with debris at bottom of bag. Change bag more frequently.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed many bedside tables need wiping down including the undersides. One torn mattress. One torn fall mat. Couple of loose room curtain rods. |
|
34
|
2
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Repeat: Observed clean linen rooms where dividers not closed separating clean linens from general storage.**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). |
|