| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed stained ceiling in 200 hallway. Wall damage in laundry room and several bedrooms behind beds. Wall damage in bathroom, room**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 |
Observed corroded faucets in 100 hall nurse's bathroom and laundry room. Grouting black in showers both shower rooms. Soiled/stained toilet and toilet seat 100 hall shower room.**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).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
| Observed no disinfectant available in 200 hall shower room.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Observed water fountain with water pressure too low.**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). |
|
19
|
1
|
Ice protected, dispensed, equipment clean in good repair |
No |
No
|
No |
Observed ice and water dispensers in nourishment rooms with residue build-up around nozzles/chutes.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). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed single service cups stored below hand sink, 100 hall nourishment room.**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). |
|
30
|
2
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed pill crushers on med carts 100 and 200 hall with build-up. Cup of coffee on top of 200 hall cart. Straw and rag on sharps container,100 hall med cart.NOTE: Both med carts were unattended and unlocked.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed tears in bottom of mattress, room 101. Frayed fall mat, room 109.**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
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed soiled linens thrown into tub, 100 hall shower room. Holes in sheet and soiled sheet, room 109. torn pillows in rooms 109 and 101. **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).**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |