| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Observed: Flooring damaged in the 400 Hall Clean Utility Room. Flooring damaged in the Laundry Room. Excessive amounts of medical records stored in the Record Room and the flooring not clean. Rubber/woven shower floor mats in shower stalls. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a).Floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Repeat: Observed: Peeling wall paper on some halls (repeat). Walls/caulking damaged around some hand sinks (lobby restroom, 201). Wall, tile, and ceiling damage in shower rooms. Several walls in need of paint room previous repairs. The bathroom ceiling water damaged from a sprinkler line in room 407. Walls damaged in the Laundry 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 |
Repeat: Observed: The hand sink blocked in the Laundry Room. The laminate back splash damaged in the 200 hall nourishment room. The toilet base caulk in need of replacement in several areas. Most sink faucets corroded/pitted in rooms inspected. The shower stretcher pad damaged. Several elevated toilet chair frames collecting rust/flaking paint. Shower curtains dirty in shower rooms. The rubber mat flooring with feces on it in a shower room. A loose toilet seat in a shower room.Toilet, hand washing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a).Keep all bathing, toilets, and hand washing equipment clean and in good repair. 15A NCAC 18A .1312 (a),(b), and (f). |
|
9
|
0.50
|
Toilet rooms free of storage, hand wash signs posted |
No |
No
|
No |
Repeat: Observed: Excessive amounts of lifts and wheel chairs stored in shower/toilet rooms. Wheel chair parts stored in the bathroom in 405.Toilet rooms shall not be used for storage. See rule .1312 (b). |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Observed: The lobby water fountain with calcium buildup. Other water fountains with low pressure.Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed: Items being stored in a can wash in the 200 hall equipment storage room/can wash room. Clean items stored in cabinets of soiled utility rooms (stuffed animals/personal effects).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
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed: Cabinets dirty in the Activity Room and cabinet doors with laminate damage. The arms of living room furniture in need of stain. Some night stands in resident rooms with laminate damage/wood flaking. A damaged restroom shelf in 405. A damaged chair in 407. A damaged shoe rack in 404. Privacy curtains collecting stains throughout. Damaged cabinet doors in the 400 Clean Utility Room.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 |
Repeat: Observed: Multiple soiled linen bins with no label (laundry, rehab, salon, soiled utility room).Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Repeat: Observed: All microwaves dirty in nourishment rooms.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). |