Premises Information


	Return to Inspections

Name

TERRABELLA LITTLE AVENUE

Address

7745 LITTLE AV

City/State/ZIP

CHARLOTTE

28226

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

10/21/2015

Final Score @ Grade

General Comments

8. -Observed rust forming on the washing machine.Laundry facilities shall be kept clean and in good repair. See rule .1312 (a).-Observed broken toilet chair in 128.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). 9. Observed a room used for storage on the 2nd floor by room 232 with a toilet still in the room. If room is to used as storage, all plumbing fixtures shall be removed and capped off.Toilet rooms shall not be used for storage. See rule .1312 (b). 14. Observed an unlabeled bottle on the housekeeping cart. Per employee, the chemical was disinfectant, but when tested was at 0ppm quat.Observed no quat test strips. Provide.Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. 15A NCAC 18A .1312 (f).33. Observed soiled sheets in 216 and 113, and comforter in 125.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). 36. -Observed the refrigerator gasket in room 216 moldy.-Observed the microwave and dining room refrigerator collecting debris and residue.- MCNon-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).report emailed to mposse@elmcroft.com

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	-Repeat Non-Compliance: Observed water stains on ceiling in upstairs hallway.-Observed the restroom cove base separating from the wall in room 227.-Observed holes in the wall in the MC dining room.-Observed the frame around the MC hall restroom broken. Repair.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
16	1	Quantitiy and hot water sufficient, backup water supply plan	No	No	No	Repeat Non-Compliance: Observed no backup water supply plan. Guideline form emailed.Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
24	1.50	Vermine excluded	No	No	No	Observed a heavy presence of ants in room 125 coming out of the wall AC unit and on the base boards, and gnats in MC dining room.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).
28	1	Adequate storage, area clean, items properly stored	No	No	No	Repeat Non-Compliance: -Observed briefs stored on the floor in the restrooms and closets in multiple rooms.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).-Observed briefs stored under the handsink pipe in 125. Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).-Observed the cabinets and rolling cart in the MC unit dining room in need of cleaning.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).
30	2	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Repeat Non-Compliance: -Observe single service items (pill cups) stored unprotected on the med carts.Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).-Observed residue collecting in the bottom of drawers in one of the two medication carts.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	-Repeat Non-Compliance: Observed the bottom of the vanities in the salon with water damage.-Observed stain recliner cushion in room 125.-Observed water damage under the sink in the activity room.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
43	0.50	Food storage units with thermometers, maintain temperatures	No	No	No	Repeat Non-Compliance: Observed several refrigerators without thermometers (bedrooms and common areas).All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).