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

2/23/2017

Final Score @ Grade

94.50

General Comments

.#2 - Observed strong odor throughout memory care. Carpets may need a deep cleaning to reduce odor. All carpet shall be kept odor free. 15A NCAC 18A .1309 (a). #10 - Observed bedpan in bathroom of room 118 in memory care that was not labeled. Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). #11 - Observed cup and brown discoloration in sink of memory care sitting area. Ensure sink is not used as a dump sink. Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d). #13 - Observed hot water at temperatures as high as 121F in bathroom of room 214. Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). #15 - Observed no backflow device present in mop sink of 100 hall laundry room in memory care. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). #26 - Observed sink hole in the back courtyard. Ensure hole gets filled in. The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). #28 - Observed bathroom in Health Lifestyles Director room being used as a storage closet. 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). #34 - Observed cleaning needed in laundry machines throughout the facility. Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). #35 - Observed hair built-up in electric razor in beauty salon. Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c). #43 - Observed missing thermometer refrigerator of room 102. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Inspection led by Savannah Parker accompanied by Shawn Blackmon.

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 cleaning needed on walls and a hole in the wall behind the door in room 118 of memory care. Observed damaged ceiling needing repair in room 214. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Observed cleaning needed in most toilets, and toilet chairs throughout the facility. Observed cleaning or replacement needed on several plastic shower curtains. Observed tightening needed on toilet seat in the bathroom of room 132. Observed urine left in urinal on sink counter in the bathroom of room 226. Observed cleaning needed on the bottoms of several shower chairs. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed major cleaning needed in the bottom of furniture, mainly couches in the memory care sitting area and lobby areas. Observed missing drawer in the bathroom of room 126 in memory care. 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).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed debris in bed of room 214. Observed soiled linens needing to be changed throughout memory care. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
40	0.50	Food brought by employees or visitors handled properly	No	No	No	Observed several food items in memory care refrigerator without dates on them. Observed several food items in activity kitchen without names or dates. Ensure name and date is labeled on all resident personal food items. Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).