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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 |
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|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed bathroom smelled very strongly of urine in room 211. Dirty mop water on housekeeping cart. Change out mop water more frequently to cut down on transferring odors.All carpet/flooring shall be kept odor free. 15A NCAC 18A .1309 (a).GC #21: Observed dumpster doors open. Keep doors closed. |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed stained ceiling reception area. Damaged ceiling in memory care common area.**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 loose toilet seat in common bathroom on 1st floor. Non-slip bath mats with mold/debris (slip hazard) in rooms 211 and 233. Soil ring in sink and toilet of room 119. Moldy grout in showers of several rooms. Rusted toilet chair in room 107. Soiled toilet seat below toilet chair in room 219. Stain/ring in shower in room 219.**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) |
|
24
|
1.50
|
Vermine excluded |
No |
No
|
No |
Observed ants swarming in memory care kitchen/dining area. Bedbugs found in room 212, resident still residing in room and still several days until exterminator coming.**Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). |
|
28
|
1
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Repeat: Observed storage on floor in most closets. Stick deodorant, razors, and used bar soap in common bathroom on 1st floor.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**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: Observed pill crushers on med carts need some cleaning. Debris in containers holding pill cups.**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: Observed garbage below couch cushions and in drawers in common areas. Broken drawer and broken drawer pull of common furniture on 2nd floor. Torn mattress protector in room 233. Refrigerator needs cleaning in room 211.**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutionsshall be kept clean and in good repair. 15A NCAC 18A .1319 (a). |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
Observed no thermometer in refrigerator of room 119.**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). |
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