Premises Information


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Name

SUNRISE ON PROVIDENCE

Address

5114 PROVIDENCE RD

City/State/ZIP

CHARLOTTE

28226

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/30/2022

Final Score @ Grade

General Comments

No points were deducted for the following: 12. Observed no paper towels at the handwashing sink in the laundry room. **Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). 36. Observed interior of refrigerator in need of cleaning in room 202. **Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Observed wall paper peeling in the bathtique on the 2nd floor. Observed wall paper peeling above the toilet in room 23. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed handles missing on dresser in rooms 202 and 23. Observed cabinet door removed from handwashing sink in the bathroom in room 224. Observed cabinet door hinge in need of repair at the kitchen sink in room 224. **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).