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

2/20/2020

Final Score @ Grade

General Comments

NO POINTS TAKEN FOR THE FOLLOWING VIOLATIONS: #24. 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). Observed roach in storage room located on left 1100 hallway. *NOTE: was present during time of inspection and inspection report was emailed to the following: djones9@brookdale.com dbobbitt@brookdale.com

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
16	1	Quantitiy and hot water sufficient, backup water supply plan	No	No	No	Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). EHS emailed facility a guidance document regarding the back up water supply plan.
17	1	Water fountains clean, good repair, properly regulated	No	No	No	Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountains located on lower left 1000 and upper 2000 hallway with pink build up located inside of drinking nozzle. Observed upstairs water fountain in need of repair, water wasn't coming out of drinking nozzle rather spilling onto floor.
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed minor staining on pillow case in rooms 1107. Observed staining on pillow in room 1101.