| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed stained/damaged ceiling in several areas throughout building. Wall damage where soap dispenser removed, room 213.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed sink not working, kitchen near lobby. Loose toilet seat room 124. Shower with build-up and toilet seat with tape residue, room 117.**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). **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed no paper towels in several bathrooms, private and common. All handsinks must be supplied with soap and paper towels. No soap in room 213.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed crumbs/spills in cabinets in kitchen near lobby. Spills in refrigerators in rooms 117 and 206.**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). |
|
30
|
2
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Repeat Non-Compliance: Observed single service cups sitting on sharps container. Single service cups no sleeved on med cart. Med cups and single service cups stacked too high (lip exposed).**Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed lots of trash and spilled items under seat cushions of common area furniture.**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). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Observed employee folding laundry in common sitting area and clean sheet touching floor (as being folded).**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). |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed shower chair and bath mat with residue build-up, room 223. Single service cup dispenser not covered, kitchen by lobby.**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed plates of food not labeled or dated in refrigerator in kitchen near lobby.**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |
|
43
|
1
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
Observed no thermometer in refrigerators in room 223 and 206.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). |