| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Repeats:
-Observed walls throughout facility in hallway, residents room, resident bathroom and storage room in need of touch-up paint.
-Observed wallpaper peeling on the 100 hall.
-Observed baseboards either off or loose in several rooms.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
10
|
1
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
-Repeat: Observed bedpans and urinals not properly labeled throughout in resident rooms.
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
-Per CNAs, the bedpans and urinals are cleaned in the restroom sink. Follow the rule below.
-Also, the hoppers in the soiled utility rooms are blocked. Remove all items so that there is a clear path to and from the hopper.
Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
-Observed no cleaner in the 200 hall spa.
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
-Observed a therapist use a patient's personal shower chair in the spa and begin to take it back to his room without cleaning it. Never transfer soiled shower equipment through the halls.
-A CNA stated that she usually sprays the shower equipment and wipes it down. Follow the manufacturer's directions.
The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed boxes of briefs, cups, etc stored on the floor in rooms and in storage rooms.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
30
|
2
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Repeats:
-Observed the drawers of the med carts with heavy residue and buildup. Clean.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
-Observed the mouthpieces of the drinking cups on the med carts exposed. Store all items to prevent contamination.
Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeats:
-Observed the bed head and foot boards peeling and/or in disrepair on the resident's beds throughout facility.
-Observed the closet door in disrepair and the bar under the tv in room 122 in disrepair.
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). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
-Observed the microwaves and cabinet drawers (inside and out) in the nourishment rooms soiled- 200 hall. Clean.
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). |
|
40
|
1
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Repeat: Observed some food not labeled in the nourishment refrigerators and some with dates of 6/7/16. Ensure all is labeled.
Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |