|
3
|
2
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
-Repeat Non-Compliance: Observed wall damage (wallpaper and/or FRP) in bedrooms, restrooms, common areas, etc.-Observed water stained ceilings in several rooms. Per James, head custodian, there has been a sprinkler pressure issue in the kitchen which was leading to the water damage/stains.-Observed hole in the wall behind the door in the linen room on the 400 hall.-Observed crack in the ceiling in the shower room on the Rehab hall.-Observed cobwebs collecting in the Rose Dining Room.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
2
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Repeat Non-Compliance: Observed soiled toilet seats (top and underneath) in the resident's restrooms.Repeat Non-Compliance: Observed debris on shower stretcher that was stored as clean on the Rehab hall.Repeat Non-Compliance: Observed pink build up on the shower chair in the 400 hall.Observed pink build up on several shower curtains throughout.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). |
|
13
|
1
|
Lavatory and bathing hot water between 100 and 116 F |
No |
No
|
No |
Observed water on the 100, 400, 700, & 900 halls below 100F. Per James, head custodian, this is due to a water pressure issue with the sprinkle system in the kitchen.Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Repeat Non-Compliance: Per the cleaning staff, the shower equipment is cleaned by spraying the disinfectant and wiping it down immediately afterwards.Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f). Ensure the directions are followed for proper disinfecting of equipment. |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Repeat Non-Compliance: Observed med cart drawers collecting residue in 2 of the 3 inspected.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
-Repeat Non-Compliance: Observed dividing curtains in several rooms collecting residue throughout.-Repeat Non-Compliance: Observed damaged mattresses in several rooms throughout. (room 910 had what appeared to be urine collecting on the bottom side of the mattress as well as inside the rips.-Observed ripped pillows in several rooms.-Observed night stands (400) and vanities (in 412 & 405) with worn and or separating facing.-Observed damaged counter at the shampoo bowl (near the floor) in the beauty shop.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). |