| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed the wall damaged in the following areas: activity room on the first floor, second floor community bathroom 1. Observed carpet stained and ripping outside of room 1101. Observed cabinets in disrepair and damaged in both laundry rooms (1st and 2nd floor). Observed the following cabinets in need of cleaning: 1104 and med room. |
|
8
|
2
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower curtains damaged or stained in the following rooms: 1222
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seats in the following areas: 2nd floor community bathroom 1&2, room 1104, room 1117, first floor community bathroom 1 and 1203 toilet set damaged. Observed stained toilets in the following areas: 1203, 1202, 1222, 1104
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed jets in the tub in 2nd floor bath suite accumulating residue.
Observed shower chair in need of cleaning in the following areas: 1203 an 1222. Observed shower floor in the bathe suite accumulating pink residue.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed the following handsink clogged: room 1102 and first floor community bathroom. |
|
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 dead insects on the floor in the following areas: 2nd floor clean linen, 1st floor clean linen, 1st floor storage room next to community bathrooms. Clean to prevent accumulation and attracting pests. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed towels and catheters stored under the resident handsink in room 1202; Observed patient care items stored under handsink in room 1117. Observed cleaning chemicals stored over diapers in the 2nd floor laundry room CDI- items were removed/relocated. |
|
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 stained sheets and crumbs on bed linens in room 1222. - REPEAT- |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). Observed accumulation of debris the first floor washing machine in need of cleaning under the interior lip. Observed all lint filters to all dryers in need of cleaning. CDI - cleaned during the inspection. |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed storage on the ground in the following areas: 2nd floor clean linen room, 2nd floor hopper room, and room 1203 linens on the floor. Observed storage within 18" of the med room handsink. CDI items were relocated, recommended that they can install a splash guard. |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
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).Observed microwaves in the following rooms accumulating food debris on interior: 1203,1202, 1222, 1102. Keep clean and maintain. Observed refrigerator in room 1203 in need of cleaning. |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b). Observed the following refrigerators in the following rooms with temperatures above 45F: 1203 (50F), 1202 (58F), 1222 (47F) |