|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
-Observed multiple water stained ceiling tiles in room 14 and in the Gym.-Observed wall tile by the shower (towards the bottom) in disrepair in room 14.-Observed baseboards separating from the wall in room 14.-Observed the wallpaper separating from the wall on each side of the window in the gym.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
-Repeat Non-Compliance: Observed rusted toilet seat risers.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).-Observed pink buildup on the shower head in room 68.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). |
|
9
|
0.50
|
Toilet rooms free of storage, hand wash signs posted |
No |
No
|
No |
Observed wheelchairs, flowers, and walkers stored in the whirlpool room.Toilet rooms shall not be used for storage. See rule .1312 (b). |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
-Repeat Non-Compliance: Observed unlabeled bed pan in room 68, and observed bedpan without date in room 19.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).-Observed urine still in bedpans in rooms 19. Per a CNA, they are washed in the restroom. (No spray arm present on the toilets in the resident's rooms).Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c).Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c). |
|
18
|
1
|
Drinking utensils properly handled |
No |
No
|
No |
Observed pink buildup and other residue collecting on all the water pitchers on the med carts. All multi-use drinking water utensils shall be cleaned and sanitized between users. 15A NCAC 18A .1314 (a). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
-Repeat Non-Compliance: Observed torn mattress in room 35 and torn pads/mats in the Gym storage room (inside cushion exposed).-Observed inside of the night stand drawer in room 14 'bubbling' from water damage.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 |
-Repeat Non-Compliance: Observed torn comforters in the gym and room 68, and stains on the comforter in room 19.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).-Repeat Non-Compliance: Observed soiled linen bin unlabeled in the gym.Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). |