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Mecklenburg County Health Dept
Public Health Inspections
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Premises Information

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NameBROOKDALE CARRIAGE CLUB PROVIDENCE I
Address5802 OLD PROVIDENCE RD
 
City/State/ZIP
CHARLOTTE NC 28226
Premise Type40 - Rest/Nursing Homes
CountyMecklenburg
Inspection Date 5/16/2014
Final Score @ Grade
94
General Comments. . General Comments3. Observed minor wall damage and missing base-boards throughout facility. 15A NCAC 18A .1310 WALLS AND CEILINGSThe walls and ceilings of all rooms and areas shall be kept clean and in good repair.25. Observed spray bottle of water mislabeled as "Clorox with bleach" in main laundry room. Keep all chemicals properly labeled. 32. Observed wing-back chair in library area with some staining on seat cushion, some blinds in guest rooms with slight dust accumulation.15A NCAC 18A .1319 (a) All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or otherfurnishings in institutions shall be kept clean and in good repair.33. Observed small stains on pillow case, pillow, and throw blanket in room 310. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled.

Violations

 
CDI=Corrected During Inspection  R=Repeat Violation  VR=Verification Required 
Violation Item Demerits Violation Description CDIRVRComments
8 1 Facilities conveniently located, clean and in good repair No No No Observed loose toilet seats in resident room 347, resident room 314, 1st floor shower room, and 1st floor community rest-room. Observed pink build up on shower wand in room 310 and the upstairs shower room. **15A NCAC 18A .1312 Fixtures and furnishings shall be kept clean and in good repair. Tightly secure toilet seats. Regularly clean all bathing equipment.
17 1 Water fountains clean, good repair, properly regulated No No No Repeat violation- Observed black residue build-up on nozzle of drinking fountain on 1st floor. **15A NCAC 18A .1314 Drinking fountains shall be of sanitary angle-jet design, kept clean, and properly regulated. Regularly and thoroughly clean all parts of drinking fountains.
28 0.50 Adequate storage, area clean, items properly stored No No No Observed adult diapers stored on floor of 2nd floor storage room. Observed excessive storage on floor of 1st floor storage room. **15A NCAC 18A .1318 Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean. All patient care or consumable items shall be stored at least eight inches above the floor to prevent water contamination from cleaning floors and shall not be stored below exposed sewer lines. Relocate adult diapers to a shelf above the floor. Reorganize storage room to facilitate cleaning of the floor.
30 1 Medication carts clean, sharps containers affixed, food and utensils handled properly No No No Observed box of tissues stored on top of the sharps container on med cart in the 2nd floor nurse's room.**15A NCAC 18A .1318 Food and utensils used on medication carts shall be handled in a sanitary manner. Relocate tissues to clean side of cart.
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 food push cart with milk not held cold or time stamped and portioned cups of oatmeal not held hot or time stamped. Observed unidentified floating residue in drink dispenser in main lobby area.** All potentially hazardous food 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 ordiscarded within two hours of being removed from temperature control. Ensure foods are being actively held cold, held hot, or date stamped with time removed from temperature control.
43 0.50 Food storage units with thermometers, maintain temperatures No No No Observed refrigerator in library area and in 1st floor therapy room with no indicating thermometer.** Each refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read except that indicating thermometers shall not be required for food iced in coolers for transport. Install indicating thermometers.