| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Ob/served dusty vents in 2nd floor laundry and 1st floor women's bathroom. Lighting below 10 ft. candles in 1st floor shower room. Cracked sconce cover in lobby, 1st floor.15A NCAC 18A .1311 LIGHTING, VENTILATION AND MOISTURE CONTROL(b) Ventilation equipment shall be kept clean and in good repair.(a) All areas shall be provided with sufficient illumination to effectively perform all operations, including cleaning, and shall have at least 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed unlabeled urinal in Room 340. Urinal needs to be labeled and cleaned properly. No bed pan lugs available in bathrooms.15A NCAC 18A .1312 TOILET: HANDWASHING: LAUNDRY: AND BATHING FACILITIESWhere 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. Where disposable bedpans are reused, they shall be labeled with the patient's name and date and shall not be used by more than one patient. Bedside commodes shall be cleaned after each use and shall be cleaned and disinfected before use by successive patients. Hand sinks shall not be used for cleaning bedpans or bedside commodes. |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Observed water fountains on 1st floor with black residue build-up around nozzle.15A NCAC 18A .1314 DRINKING WATER FACILITIES: ICE HANDLING(a) Drinking fountains shall be of sanitary angle-jet design, kept clean, and properly regulated. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed cabinets and drawers with debris/residue in common areas, actiivties and beauty.15A NCAC 18A .1318 MISCELLANEOUS(a) Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean. |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed med cart with box of Kleenex on sharps container. Unprotected single service cups and pill cups on top of med cart.15A NCAC 18A .1318 MISCELLANEOUSFood and utensils used on medication carts shall be handled in a sanitary manner. Unused medication cups shall be kept covered or inverted. |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed furiniture in lobby with food/used band-aid below cushions.15A NCAC 18A .1319 FURNISHINGS AND PATIENT CONTACT ITEMS(a) 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. |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed Refrigerator and stove in activities room need cleaning. Mold growth in refrigerator in Room 303. Refrigerator in lounge needs cleaning.15A NCAC 18A .1320 FOOD SERVICE UTENSILS AND EQUIPMENTNon-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. |
|
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 opened box of thickener in med cart drawer, half empty, no date when opened. Med nurse had no idea when opened. Labeling says to refrigerate after opening.15A NCAC 18A .1323 FOOD PROTECTION(a) All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. A ...ll perishable foods shall be stored at temperatures which will protect against spoilage. All potentially hazardousfood shall be maintained at safe temperatures (45 degrees F. or below, or 140 degrees F. or above) except during necessary periods of preparation and serving. Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. Medications shall be stored in a manner which will not contaminate food or food products such as in separate covered containers or in separate refrigerators. |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
Observed no thermometer in Room 303. Broken thermometer in activities kitchen.15A NCAC 18A .1323 FOOD PROTECTIONEach refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read. |