Premises Information


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Name

OAKBRIDGE TERRACE AT MATTHEWS GLEN

Address

701 PAVILION VIEW DR

City/State/ZIP

MATTHEWS

28105

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

7/13/2021

Final Score @ Grade

General Comments

The following were not assessed points due to the facility's current renovation status. All areas of concern are under renovation and contractors are working to upgrade, replace and restore rooms 251 - 260. Water interruption from 09:00 to 10:30 and 13:00 due to construction. Frayed carpet in room 252 Replace molding around base of the wall in small storage room on Rose Arbor hall. Close gap in concrete on floor in large residents' storage room on Rose Arbor hall. Repair damage on wall adjacent to housekeeping closet on Rose Arbor hall. Refinish or replace water damaged counter top on cabinet in common area between the Y entry of Azalea Run hall. Replace stained carpet on Azalea Run hall. Replace missing knob on washer in residents' laundry room. Miriam Burkhart observed and participated with inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
4	1	Lighting at least 10 foot candles 30 inches above floor	No	No	No	All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Replace bulbs in closet in small storage room on Rose Arbor hall and rooms 222 and 252. Observed no light in both closets and storage room on Rose Arbor hall.
5	1	Ambient air temperature 65 to 85 F, equipment clean	No	No	No	Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dust buildup in AC vent in room 259 and a blanket of dust buildup in AC vent in room 252 which is currently under renovation.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed fecal matter under toilet seat in room 259 and room 222. Clean and disinfect toilet seat. Observed damaged toilet seat in room 248 around the rim of the seat. Replace damaged toilet. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Clean and disinfect showerhead in room 202. Observed buildup on showerhead in room 202.
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	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). Temperature of water in room 259 peaked at 130F, maintenance adjusted temperature to meet compliance, rechecked temperature. Temperature of water in room 252 peaked at 126F, maintenance adjusted temperature, rechecked temperature at 121F, maintenance adjusted temperature to meet compliance, rechecked temperature.
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	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). Observed frayed chair cushion in common area on Azalea Run hall. PIC stated that she will replace with new chairs. Observed stains on shower curtain in rooms 222; 235 and 248. Remove stained shower curtains and send to laundry to clean and disinfect or replace with clean shower curtains.