|
|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
|
|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed stained carpet in sitting room at the front entry and in Rooms 313, 336, 341, and in hall. PIC has contracted a carpet cleaning team to clean carpets and they are currently cleaning hall carpet on both floors. |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water spots on ceiling in 1st floor female toilet and staff toilet. Repair or replace ceiling tile. Repair holes in the wall in female toilet on the upper level. Spot paint wall under urinal in male toilet on the lower level.
***REPEAT*** |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed soiled toilet seat in Rm 341
and dried urine stains on raised toilet seat in Rm 305. Repair female toilet on the lower level; continuously run.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed pink residue on showerhead in Rm 325, 317, and 348.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed counter at handwash sink coming off wall, secure tightly to wall and cork to seal it. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed
resident's sheets and blanket stored on the floor in resident's Rm 325 ; Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
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). Clean crumbs in the bottom of the sofa on the 1st and 2nd floor resident's sitting area and in Rm 305. Observed soiled pillow in Rm 305, 317, and 348.
***REPEAT*** |
|
33
|
2
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Observed soiled bed sheets and on pillow case and pillow in Rm 305, 317, and 348.
***REPEAT*** |
|
35
|
1
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319; Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c) Observed soiled armrest on resident's chair in Rm 325. Observed soiled bed sheets and on pillow case in Rooms 305, 317, 325, 341, and 348. |
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