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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed floors soiled in laundry room area and several storage closets throughout facility. Observed spots/stains on carpet in several resident room. Thoroughly clean floor in laundry room area and storage closets! Shampoo carpet throughout where needed. Keep all flooring clean. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Touch-up paint wall throughout in resident room, bathrooms and hallways. Observed damaged wall in laundry room(memory care) and area behind can wash area( 1st floor assistant living) and janitor closet. Patch holes in wall and repaint. Patch hole around plumbing fixture under hand washing sink in resident room or place scution cup around plumbing fixture. Observed water stains on ceiling in hallway and storage closets. Monitor ceiling for any roof leaks or condensation leaks from ventilation duct and repair if needed. Clean top of half walls in memory care unit. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. All walls shall be easily cleanable. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed damaged handrail in shower, damaged shower wand and soiled shower curtain in room 133. Observed some shower heads and shower curtain with microbial growth present. Thoroughly clean shower head and shower curtains throughout! Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). |
|
15
|
2
|
Approved water supply, no cross-connections |
No |
No
|
No |
Observed no back flow prevention device on sink basin in salon. Provide a back flow prevention device on sink basin in salon!Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed storage on the floor in upstairs storage room and residents briefs stored on the floor in residents closet and bathroom. Store items in storage room on shelving or dunage racks and store residents briefs on shelving in bathroom or closet area.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed single service articles not properly stored on med carts. Pill cups on med cart were stacked to high without any protective covering. Store single service articles(pill cups) in original sleeving or in a ziploc bag on med carts. Observed (1) pill crusher on 1st floor soiled. Thoroughly clean pill crusher often/regular to prevent build up on pill crusher! Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c). |
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