| 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 damage and ceiling damage in guest rooms, hallways, storage closets, med-rooms, and bathrooms throughout. Repair wall and ceiling damage and touch-up paint on repaired areas. |
|
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). Observed light fixtures not properly operating in North Shower room and East Shower room. Repair light fixtures or replace blown light bulbs to ensure adequate lighting. |
|
8
|
2
|
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 loose toilet seats in patient rooms and community shower room. Tighten or replace damaged toilet seats. Observed 3 bedpan lugs out of order; only 1 functioning. Repair.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed build up on bottom of shower seats in North shower room and under padding of shower stretcher. Thoroughly clean bottom of bathing equipment.Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed laminate on front of sinks missing. Replace lamiante or seal wood so that it is non-absorbant. |
|
10
|
1
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed paitient bed pans in rooms not properly labeled. Keep patient bed pans labeled with name and date. |
|
11
|
1
|
Hand sinks used only for intended purpose |
No |
No
|
No |
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed handwahsing sinks with soiled dishes stored in North nutrition room and West nutrition room.Only use handwashing sinks for handwashing, Dump soiled dishes in kitchen dump sink. |
|
15
|
2
|
Approved water supply, no cross-connections |
No |
No
|
No |
Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed no backflow preventers on shower wands in patient rooms throughout. Provide back flow preventers on shower wands. |
|
19
|
2
|
Ice protected, dispensed, equipment clean in good repair |
No |
No
|
No |
Observed microbial growth inside ice-machine in dining room and inside ice scoop container in the West nutrition room.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).Thorghouly and regularly clean the ice maker. Ice scoops and ice chests should be cleaned every 4 hours. |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed heavily soiled pill crushers on all medication carts. Regularly clean pill contactsurfaces where build up is occuring. Obseved soiled drawers on medication cart.Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed single service cups stored with patient lip contactsurfaces not protected. Do not over-stock med carts with single service cups. |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed adult diapers stored on floors of patient closets. Obsevred single service articles and paper towels stored on floor in outside storage shed. Observed wheelchair with damaged arm rest, damaged mat in room 272, tear in padding of "gerry chairs" ,and crumbs under seat cushions of sofas throughout. Move patient contact items up off of floor. Repair or replace damaged arm rest on wheel chair. Replace damaged mat in room 272. Keep all patient contact items properly stored and in good repair. Store patient contact items completely separated!(hair brushes, combs, lotions, etc.) |
|
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 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). Observed food not properly labeled in refrigerator on east and north nutrition room. Improperly labeled items were discarded. |