|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Repeat Non Compliance: Observed water leak in South Nourishment Room. Leak was found upon trimming overhanging limbs on roof after previous heavy rain. Note: Crack in ceiling in West Hall has been patched and previous water stains in ceiling have been addressed and repaired. Observed bottom of spa wall tiling damaged in need of reattach.**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 |
Observed rip in blue shower mattress pad, ripped top side of red plastic shower chair, black residue present on bottom side of shower curtain from where moisture collects and sticks vinyl. Observed 2 shower chairs with debris present on underside of seat in need of cleaning in West Hall Spa. Observed underside of toilet chair soiled in room 120. **Keep all bathing equipment clean and in good repair. 15A NCC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed disinfectant not present (readily accessible) in shower spa's throughout facility. Provide disinfectant to all showers. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
30
|
2
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Repeat Non Compliance: Observed debris residue present on inside drawers near corners of dividers on South Hall with loose pills present in back of med cart throughout.**Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeat Non Compliance: Observed stains on sofa on top side (red residue) in need of cleaning with debris present under cushions throughout common areas of facility. Observed slight tear in several mattress' with stain present on mattress and gum on surface of mattress in room 268; stain on dividing curtain in room 178 with multiple white plastic pillows with tears on surface. **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). |
|
33
|
2
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Repeat Non Compliance: Observed linen soiled in room 261 next to added pad under top layer sheet as well as in room 178. Repeat Non Compliance: Observed linen with holes present on linen carts throughout facility and in rooms 178, 268 with rip in comforter (top left corner) in room 261.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |