Premises Information


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Name

ROCKWELL PARK REHABILITATION AND HEALTHCARE CENTER

Address

1930 W SUGAR CREEK RD

City/State/ZIP

CHARLOTTE

28213

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

9/8/2014

Final Score @ Grade

87.50

General Comments

4. Replace lighting in library and in hallways of facility. **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).5. Observed ceiling vents, A/C wall vents in need of cleaning in multiple rooms. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). 19. Observed ice bucket in nourishment room in need of monitoring of black residue build up before restocking with ice. Plastic liner not necessary for ice scoops. Plastic container works fine just ensure items are cleaned accordingly.**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). **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).32. Observed stain on sofa furniture in West Hall, including debris present underneath cushions in library. **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). Areas were isolated and debris was minimal concerning furniture. 34. Observed inside of dryer with heat damage to tracks in need of cleaning, repairing, replacing. **Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). 36. Observed debris build up in popcorn maker located in activity room in need of cleaning. Repair gaskets **All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. 15A NCAC 18A .1320 (c).**All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. 15A NCAC 18A .1320 (c).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Observed wall/ceiling damage in facility throughout. Observed large crack in ceiling in West hall. Ceiling stains throughout facility were found in storage rooms, hallways, etc. Baseboards in need of repair in storage closets and in spa' s. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Repeat Non Compliance: Observed loose toilet seat loose in room 280 in need of tightening, bathroom chairs, spa equipment including shower chairs, underside of lay tables in disrepair/soiled in need of cleaning, sinks with slow drains in need of repair for future clogging, Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
10	1	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Repeat Non Compliance: Observed bed pan not labeled in room 295. Label all bed pans.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	Repeat Non Compliance: Observed hot water temps at handwashing sinks reaching over 116F and topping out at 125F in resident rooms on North Hall. Water temps fell back down in range as inspection went on. **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	Repeat Non Compliance: Observed bottle of disinfectant not properly labeled in North Spa shower. Bottle in need of proper labeling. **Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. 15A NCAC 18A .1312 (f).
15	2	Approved water supply, no cross-connections	No	No	No	Observed shower wands missing backflow preventers in patient rooms throughout. Continue to provide backflow on shower wands.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Repeat Non Compliance: Observed water fountain with low water pressure on East Hall. Water fountain pressure shall be adjusted to reach height above nozzle. Observed calcium build up around base at several water fountains. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
30	2	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Repeat Non Compliance: Observed debris/residue on inside drawer liners, small med cups not properly inverted, chemicals stored next to exposed cup. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed linen, comforters, and bedding soiled/ripped in resident rooms, clean linen closets, and clean linen carts throughout facility. Linen provided shall be maintained clean and in good repair. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).Observed bag of soiled clothing in North Spa. Soiled linen shall be placed in a covered container or bag at the point of use stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b).
35	0.50	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Observed bag of diapers stored on floor in hallway closet, clothes hanger stacked on top of each other not 8" off floor, and clean bag of clothes stored on floor in laundry room. **Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).