|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Repeat Non Compliance: Observed water stained ceilings throughout. Corrections are visible continue to touch up paint and correct leaks when occurring. **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 |
Repeat Non Compliance: Observed residue collecting under 1 shower chair in North Spa. Improvement was made from previous inspection. Observed eye wash station in disrepair. Repair eye wash bowl. **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). |
|
14
|
2
|
Disinfectant accessible, properly used |
No |
No
|
No |
Repeat Non Compliance: Observed disinfectant not present in North Shower spa. Observed disinfecting wipes not present at time of inspection in therapy room. Correct wipes were provided by report completion. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed briefs stored on floor near common storage/time clock and outside white shed. Observed plastic cups stored on floor in common storage. Observed wheel chair stored in South Spa and other rolling equipment stored in West Spa. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeat Non Compliance: Observed residue present on couch cushion in room 299, stain on couch in South common area, hole in door of room 175, stains on couch in North Library, end of bed bolts off track in room 240, book shelf in disrepair in North Library, and ripped arm rest of resident chair in storage shed. **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 |
Observed soiled bag of linen stored on shower stretcher in West shower spa.**Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b). |