Premises Information


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Name

MECKLENBURG HEALTH & REHABILITATION

Address

2415 SANDY PORTER RD

City/State/ZIP

CHARLOTTE

28273

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

12/17/2018

Final Score @ Grade

General Comments

NO POINTS WERE TAKEN FOR THE FOLLOWING: #2 - Observed floor tile in restroom of room 111 in need of cleaning. **Keep all flooring clean. 15A NCAC 18A .1309 (a). #5 - Observed cleaning needed on the AC unit in room 206, 118, and 216. Observed dust build-up on bathroom ceilig vents in several rooms. #14 - Observed housekeeping manager state that sharred bathing equipment in spa bathrooms are disinfected at the end of each day. **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 (f). #18 - Observed water cups without labeling in rooms on 100 hallway. **Label all disposable water pitchers with the resident’s/patient’s first name and last name. 15A NCAC 18A .1314 (a) #26 - Observed four trash cans being stored by the dumpster, filled with water without lids.**There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). #33 - Observed soiled linen cart without labeling in the 200 hall soiled linen room. Observed stained sheet in room 206. Observed used towels and wash cloths being stored in restrooms of rooms 216 and 114. **Carts used for soiled laundry shall be labeled for soiled laundry use only. 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). **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). #34 - Facility washes common linen from different residents together. EHS did not see chlorine hooked up to washing machines. Facility was unable to provide documentation for sanitization. Facility did not have any documentation stating how hot water gets. See rule as follows: If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and wash cloths provided by the facility shall be washed with a detergent in water at least 71°C (160°F) for 25 minutes. If low temperature (less than 71° C) laundry cycles are used, linens shall be washed in at least 50 parts per million chlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer's instructions. **All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed clean blanket being stored in spa restroom of 100 hall. Observed clean linen in laundry room to not be covered. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Repeat Observed wall damage in room 216. Observed touch-up paint needed in various areas of hallways. Observed ceilings with dust build-up around vents in nourishment rooms. **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	Repeat Observed re-caulking needed on backsplashes of several hand sink areas of nourishment and soiled linen rooms. Observed cleaning needed on toilet chair in restroom of 216. Observed grout with heavy build-up in shower area of spa bathrooms. EHS used alcohol swab to remove build-up. Observed two shower chairs with feces on the seat in spa bathroom of 100 hallway. Observed tile cracked on corner of shower area in spa bathroom of 100 hallway. Observed toilet chair with damage to metal in room 111. Observed cleaning needed in toilet bowl of 114. Observed hand sink faucet with build-up and pitting in 114. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	Repeat Observed reclining chair being stored in spa restroom of 100 hall. **Toilet rooms shall not be used for storage. See rule .1312 (b).
12	1.50	Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device	No	No	No	Repeat Observed paper towel dispensers with low battery, not dispensing in beauty salon and clean supply of 200 hall. **Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	Repeat Observed ice machine deflector plate with build-up in nourishment room of 200 hall and ice/water dispenser with heavy build-up in the 100 hall nourishment room. **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).
22	2	Solid waste disposed of frequently, no insect breeding or nuisance	No	No	No	Repeat Observed garbage collecting around dumpster area in need of clean-up. Observed dumpster doors open and drain plug missing from dumpster. All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d). All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a).
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Repeat Observed pillows with rips in clean linen closet of 200 hallway and room 216. Observed window curtains soiled in room 206. Observed window curtain with heavy staining in rooms 216 and 118. Observed debris on mattress that had been made up with bed in room 216. Observed stain on couch in resident living room. Observed laminate missing on closet drawers and doors in rooms 216 and 206. **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).
35	1	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Repeat Observed rips on physical therapy table. Observed hair left in brushes and curlers in beauty salon. **Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Repeat Observed nurse state that water pitchers are cleaned each shift in the nourishment room. Nourishment rooms only have one hand washing sink. Water pitchers are not to be cleaned in this area. Water pitchers are to be sent back to kitchen to be properly cleaned and sanitized. Observed microwaves in need of cleaning in nourishment rooms on 100 and 200 hallway. Observed cleaning needed in refrigerator and freezer of 100 hall nourishment room. Observed cleaning needed on the interior and exterior of cabinets in nourishment rooms. Activity kitchens or nutrition stations that are not approved to clean food service utensils and equipment shall return all food service utensils, equipment, and utensils not continuously subjected to high temperatures to the kitchen after each use to be washed, rinsed, and sanitized. 15A NCAC 18A .1320 (b). 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 food items brought from home without labeling in 100 nourishment refrigerator and food items without dates in 200 hall nourishment refrigerator. **Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b).
42	2	Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control	No	No	No	Observed thermometer reading 50F in 200 hall nourishment room refrigerator. EHS took temperature of milk being stored in door which measured 50F. Juice being stored farther in refrigerator measured 48F. Management was aware of the refrigerator being at high temperatures. All food voluntarily discarded. Do not store food/drink in this refrigerator until it is capable of holding foods at 45F or below at all times. **All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a).