Premises Information


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Name

STEWART HEALTH CENTER, THE

Address

6920 MARCHING DUCK DR

City/State/ZIP

CHARLOTTE

28210

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

4/23/2019

Final Score @ Grade

94.50

General Comments

NO POINTS WERE TAKEN FOR THE FOLLOWING: #1 - Observed piece of carpet peeling up next to the bed in room 207. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). #3 - Observed baseboards in need of replacement on the corners of walls near showers in restrooms of 122 and 131. Observed water stained ceiling tiles in first floor hallway by clean linen closet. Observed touch-up paint needed in several areas throughout including edge of doors and walls where there is scuffing. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. #33 - Observed mattress cover with rip in 103. Observed stained bedspread and sheet in 117. Observed stained sheet in 122. Observed soiled linen bins without labeling in main laundry room. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). **Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). #34 - Observed clean linen cart in med room of first floor with chemicals and other supplies being stored on it along with clean linen. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). #42 - Observed salad at 70F and cooked potatoes/meat at 83F in upstairs nourishment refrigerator. Food items came from kitchen, but resident was not able to eat at the time lunch was served. EHS advised that food be sent back down to the main kitchen to be left to properly cool until resident is able to eat. **All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). NOTE: Per discussion, thickener used for medpass is often saved for the next day after being opened and left out of temperature control. EHS advised that thickener not be saved if it has been opened and left out of temperature control for any length of time. Manufacturers label states that product can sit out for 8 hours after being opened or refrigerated for 7 days.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Repeat Observed rubber shower bumpers to be torn of where foam is exposed, or glue is left on edge of shower making this area no longer smooth or easily cleanable in rooms 122 and 131. Observed loose toilet seat in 106. 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).
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	Repeat Observed chairs and equipment being stored in separate area of spa but still in the restroom. EHS suggested finishing off area by installing a door. **Toilet rooms shall not be used for storage. See rule .1312 (b).
10	1	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Repeat Observed bed pan with name but no date in 103 and bed pan without name or date in 117. **Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
16	1	Quantitiy and hot water sufficient, backup water supply plan	No	No	No	Repeat Observed backup water supply plan to state where backup water will be obtained from for all necessary activities but it does not give details on how each process will be carried out. Backup water supply plan needs to have detailed information on how water will be used for food preparation, hand washing, cleaning, bathing, laundry, and dish washing. Plan also needs to state that the health department will be contacted if loss of water exceeds 4 hours. **Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Repeat Observed water fountains in need of cleaning around nozzles on first floor. EHS suggested using Q-tips to clean build-up. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed stained pillow in room 207. Observed cleaning needed on interior and exterior of cabinets in activity room of first floor. Observed soil on curtain partition in room 131. **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).