Premises Information


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Name

BROOKDALE CHARLOTTE EAST

Address

6053 WILORA LAKE RD

City/State/ZIP

CHARLOTTE

28212

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/7/2016

Final Score @ Grade

General Comments

(NO POINTS DEDUCTED) 8. Observed loose toilet seat in bathroom uptstairs hallway. 12. Observed soap not present at hand wash sink in storage room containing hopper 2nd floor. 15. Observed back up water supply plan present, but not organized. Have everything present next expection. 35. Observed handles missing/drawer fronts missing in laundry room 2nd floor. 36. Observed fridge in room 1206 with debris present. Mr. Henry was presnet during inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	2	Walls and ceilings cleanable, clean, good repair	No	No	No	Repeat Non Compliance: Observed water stained ceiling tiles present 1st floor hallway. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Observed white calcium build up present on water fountains 1st and 2nd floor. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
28	1	Adequate storage, area clean, items properly stored	No	No	No	Repeat Non Compliance: Observed front cups not covered properly. Keep cups stored in protective sleeve. Repeat Non Compliance: Observed boxed items stored on floor in 2nd floor storage closets. **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).