| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed major damaged ceiling from a big leaks in the activity room in Main hall, ceiling was covered with a big plastic to prevent the residue from falling. Staining and peeling popcorn ceiling throughout hallways. Repair, repaint needed and keep all in good repair. Observed scraping walls and doors, possibly need repair, repaint as it fits. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose or damaged toilet seat in room 308, 200 and 300 hall bath, Need repair or replace. Observed toilet in rooms on 300 and 100 hallway can receive better cleaning. And keep clean. Observed in all baths, shower floor trim need caulking, damaged tiles along the base in 200 hall bath. Need repair. |
|
8
|
0.50
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no hand washing sign posted in therapy and 100 hall restrooms, any other restrooms have the sign posted. Hand washing signs need to be posted. Hand washing signs provided at the time of inspection. |
|
11
|
1
|
EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used |
No |
No
|
No |
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed housekeeper cleaning a room and when asked how to clean effectively using chemical (contact time and what type of chemicals use), a housekeeper doesn’t seems to have knowledge on how to effectively clean surfaces per manufacturer’s instruction. The facility need to ensure that all staff/cleaning staff have a knowledge of how to use chemical and clean effectively according to manufacturer's instructions. |
|
18
|
0.50
|
Drinking fountains clean, good repair |
No |
No
|
No |
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed water fountains throughout the facility are in need of deep cleaning and keep clean. The facility is not using the fountains currently, however they shall be kept clean. |
|
20
|
1
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice chest on every hall left unattended and not protected. There is a nourishment room in every hall. ICE SHALL BE PROTECTED AT ALL TIME. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed frayed mattress at the corners, damaged, stain mattresses in some rooms throughout the facility. Observed damaged sink cabinets/trim in Main hall nourishment room. Need repair or replace. |
|
38
|
0.50
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed heavy food debris in microwaves in nourishment room in Main, 400 hall. Need deep cleaning and keep clean. |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULE. NO POINTS DEDUCTION. Employee Health Policy discuss with staff and EHP poster provided at the time of inspection. |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. NEW RULE. NO POINT DEDUCTION. The facility need to obtain the vomiting and diarrhea kit along with instructional plan how to clean up in such an event. Vomit or diarrhea clean up procedures poster provided at the time of inspection. |