 | | | |
| |
|
|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
|
| | Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
0
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
General Comment:
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed closets floor throughout the facility, restroom floor 104, need cleaning/vacuuming and keep clean. |
|
4
|
0
|
Lighting at least 10 foot candles, 30 inches above floor |
No |
No
|
No |
General Coment:
.1311 (a) The areas interior to an institution's building or buildings shall be equipped with at least 10 foot candles of light at 30 inches above the floor.- Observed disrepair light bulbs in spa room near the front, Missing light shield cover in some rooms (closet, storage) of the building, need repair or replace. |
|
7
|
2
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
REPEAT
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed loose toilet seat in restroom at the front hall needs to repair. Observed soiled toilets and hand washing sinks throughout the facility (1008, 1003, 118, 104, 307, 604) except in memory care unit. Need details cleaning and keep clean. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed restroom in admin hall without paper towel and soap. Soiled linen room in 300 hall without paper towels. Ensure to provide all hand washing supplies at all hand sinks at all time.
.1312 (d) Handwashing facilities shall be located in an institution in accordance with 10A NCAC 13B .5411, 10A NCAC 13D .3201, 10A NCAC 13F .0305, .1304, and 10A NCAC 13K .1109, .1204, as applicable. Institutions that do not have a handwashing facility located in all areas required by this Paragraph shall not be required to install handwashing facilities if the institution has an approved hand hygiene program. Observed limited access to hand sink in soiled room and spa room some part of the facility. Ensure to not blocking access to hand washing sink at anytime. |
|
17
|
1
|
Back-up water supply plan available and complete |
No |
No
|
No |
REPEAT
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees.
- Observed the facility without written plan for backup water supply. -1 pts- |
|
28
|
0
|
No pest presence; effective pest control measures |
No |
No
|
No |
General Comment:
.1317 (a) Pests shall not be present in an institution's building or buildings.- Observed drained flies in in 807 and activity room near by. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair.- Observed damaged on the arms of wheelchair in 118. Damaged tables in Cafe and dinning room near 1000 hall. Need repair or replace. |
|
33
|
1
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) A resident's bed linens shall be changed when no longer clean.- Observed soiled bed linens, blanket, pillow cases in room 506, 604, 1003, 807, 104. Need replace and provide clean bed linens. |
|
34
|
0
|
Linens provided by the institution properly cleaned and sanitized |
No |
No
|
No |
General Comment:
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
- Observed the facility without the laundry records showing the concentration of chlorine solution as it use to sanitize the facility linens. Obtain and maintain the records. |
|
| |
|