Premises Information


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Name

WILORA LAKE HEALTHCARE CENTER

Address

6001 WILORA LAKE RD

City/State/ZIP

CHARLOTTE

28212

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

6/24/2016

Final Score @ Grade

General Comments

(NO POINTS DEDUCTED) 4. Observed light out in PT room. Repair light bulb. 13. Observed hot water throughout building registering at 119-122F. Water shall be maintained between 100-116F. Mr. Sutton was present during inspection. NOTE: These items are required for back up water supply plan. Next visit have all documents together. Relocation process seen. (f) The local health department shall be immediately notified if the primary water supply is interrupted for more than four hours. Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. If an assessment determines that tap water is not to be used for drinking, sources shall be prominently labeled or hooded to restrict use and potable water shall be provided.

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	Observed cracked baseboard in 200 & 300 bath, wall damage in 300 bath, and ceiling peeling outside of PT room. Observed water stained ceiling in nourishment 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 pitted faucets in residents rooms throughout. Observed residue on toilet seat in 300 bath. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Observed calcium build up present at main hall water fountains. Observed several water fountains not working, pulled from service, and or out of order **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
30	2	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Observed drinking utensils not protected from contamination on med cart main hall. **Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
33	2	Linen changed when soiled. Soiled linen handled properly	No	No	No	Repeat Non Compliance: Observed stain on linen and or comforters in rooms throughout facility. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).