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|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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 walls in utility, med room and residents sitting room in need of spot painting where peeling or removal of soap dispenser once was attached. |
|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dust filled vents in rooms 205, bath spa (English Garden), 129, 124, 122, & 117. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed pink growth on showerhead in room 108 and dirty shower in room 124. |
|
32
|
1
|
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). Replace damaged pillow in room 122. Observed residents's floor mat with torn cover. Observed crumbs under cushion of chairs in resident's TV sitting room. Observed recliners peeling headrest at the top of the leather and cracked on the armrest in the activity room. |
|
35
|
1
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed soiled linen on bed in rooms 205; 129; & 124. |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
All kitchenware and food contact surfaces of equipment, exclusive or cooking surfaces of equipment, used in preparation or serving of food or drink, and all food storage utensils, shall be cleaned after each use. 15A NCAC 18A .1320 (c). Clean build up in microwave in activity room. Observed beverage stains running down the front side of the cabinets in the activity kitchen. Replace stained table in activity room, observed diffused oil and beverage stains on table. |
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