| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed: Several water damaged ceiling tiles throughout facility (therapy, rm 136, halls, 2nd floor exam room area). Wall damage in a ground floor clean utility room and the restroom of 136.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed: No sink provided in the new med room on the ground floor. Shower chairs dirty in the Spas. Worn toilet seat in room 117 and 124. The bedside commode frame rusting in 124. A slow draining sink in ground floor clean utility. Utensils being washed in the therapy room sink. 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 hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Facilities in operation prior to March 1, 2003 that do not have hand washing lavatories in all areas required shall have an approved hand hygiene program established. 15A NCAC 18A .1312 (d). |
|
9
|
0.50
|
Toilet rooms free of storage, hand wash signs posted |
No |
No
|
No |
Observed: Storage on non bathing/toileting items stored in restrooms/Spas throughout.Toilet rooms shall not be used for storage. See rule .1312 (b). |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed: No liquid soap in the assisted living resident rooms.Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed: No disinfectant available on housekeeping carts or in any of the Spas.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
18
|
1
|
Drinking utensils properly handled |
No |
No
|
No |
Observed: Water pitchers improperly labeled throughout.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: Boxes of single service cups in the floor in ground floor clean utility room. A box containing small boxes of cereal on the floor in a ground floor Memory Care closet.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Observed: Clean linen not covered or protected in a Spa and in a clean linen/clothing closet.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). |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed: Resident positioning pads with blood collecting on them in room 105.Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed: A damaged fridge gasket in the ground floor med/nourishment room. Dishes being washed in the Parlor sink.Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619. |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed: Resident food in some refrigerators improperly labeled.Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
Observed: No thermometer in the fridge in room 246.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). |