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

8/9/2017

Final Score @ Grade

General Comments

NO POINTS DEDUCTED 1. Observed missing floor tiles in mechanical room that needs to be replaced. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). 5. Observed ventilation filters in common area on first floor that needs changing. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). 34. Observed patient care items stored on line cart with clean linen. Needs designated area away from clean linen. 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).

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 stained ceiling tile in storage room on second floor and damaged tile in employee restroom on first floor. Needs to be replaced. 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 stained toilet seat in room 1214, needs to be cleaned. Keep all toilet equipment clean and in good repair. See rule .1312 (b). Observed stained shower curtain in room 1214, needs to be cleaned. Observed soiled hopper missing a sprayer on second floor storage. Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f). .
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Observed bed pan in room 1205 and 1214 that needs to be labeled and dated. Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c). Observed hopper not used in a long time, bedpans are supposed to be cleaned in soiled utility. •
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Observed drinking fountains on first and second floor that contained build up. Needs to be cleaned. (REPEAT) Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
26	1	Premises clean, no breeding places or rodent harborage	No	No	No	Minimize accumulation of feces and other allergens generated by insects and other vermin by cleaning the facility. 15A NCAC 18A .1317 (d) Observed drain flies in mop sink. Debris build up in drain.
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed single service cups stored under hand wash sink in Associate Care Giver area. Needs to be removed. Storage stored below hand sink in med room, 1st floor. Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).