|
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 molding falling in dining room. Observed minor baseboard damage in oxygen storage room. Observed areas of ceiling throughout facility with water stains. Observed water leaking onto carpet near sprinkler head in main corrider. Observed some wall damage present in storage closets. REPEAT VIOLATION Improvement from last inspection. |
|
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 potty chair in need of cleaing and toilet seat dirty in room 273.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower gurnie with debris and some standing water in West spa. REPEAT VIOLATION Improvement from last inspection
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed faucet in 273 in need of repair. Observed faucet in need of cleaining in 238. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed patient contact items stored under chemicals in storage closet and on housekeeping cart. Observed toileting items stored on the floor in 238, 267 and in storage room. Observed large bottle of soap on the floor in oxygen storage. REPEAT VIOLATION Improvement from last inspection. |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed staff coffee thermos stored in drawer with medicines for residents. Observed single service medicine cups to not be protected on med cart. |
|
31
|
1
|
Feeding syringes and oral suction catheters handled properly, tube-feeding bags changed per instructions |
No |
No
|
No |
Feeding syringes which are reused shall be labeled with the patient's name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use. 15A NCAC 18A .1318 (d). Observed feeding syringe to not have a label identifying it.
Feeding syringes and oral suction catheters shall be stored in a clean container. 15A NCAC 18A .1318 (d). Observed feeding syringe stored directly on bedside table. |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
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). Observed soiled linen overflowing out of soiled linen basket in "Hampton Acres" spa and in soiled linen room.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed minor stains on linen in 238. Observed torn sheet in 147. REPEAT VIOLATION Improvement from last inspection. |
|
35
|
1
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed hair remaining in rollers in "Oasis" salon. Observed toileting items present on clean linen cart. REPEAT VIOLATION |