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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 7/7/2021
Final Score @ Grade
95.50
General CommentsNo Points Deducted: 15. Observed no backflow preventer on the shower wand hose in room 330. Provide. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). 43. Observed no thermometer in the refrigerator in room 338. Provide. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). *NOTE: Ensure housekeeping staff as well as all other staff members are changing their gloves upon exiting rooms. Ms. Jenny Renville present during the inspection. Report emailed to: jrenville@brookdale.com

Violations

 
CDI=Corrected During Inspection  R=Repeat Violation  VR=Verification Required 
Violation Item Demerits Violation Description CDIRVRComments
5 1 Ambient air temperature 65 to 85 F, equipment clean No No No Observed heavy dust buildup on the AC unit filters in 334, 330, and 338. Clean. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
16 1 Quantitiy and hot water sufficient, backup water supply plan No No No Observed no backup water supply plan. Template emailed. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
28 0.50 Adequate storage, area clean, items properly stored No No No Observed boxes of gloves and other items stored on the floor in shower rooms. Follow the rule below. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
33 1 Linen changed when soiled. Soiled linen handled properly No No No Observed stained pillows, pillow cases, bedding, and/or bed pad in rooms 334, 338, and 349. Follow the rule below. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
35 1 Patient contact items in good repair, properly stored, cleaned and disinfected No No No Repeat: Observed the edges of the therapy bed fraying in the therapy room. Repair or replace. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).