Premises Information


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Name

PINEVILLE REHABILITATION AND LIVING CENTER

Address

1010 LAKEVIEW DR

City/State/ZIP

PINEVILLE

28134

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

1/26/2017

Final Score @ Grade

General Comments

General Comments/ No Points Deducted! #2.Tightly secure edges of rubber flooring at entrance and near base of bathroom door framing in residents rooms. Replace missing transitional floor molding at entrance to bathrooms where laminate flooring meets rubber flooring in bathroom.***Keep all flooring clean and in good repair. 15A NCAC 18A .1309 (a). #5. Wipe/clean front of heating and cooling unit in resident room. Observed slight dust and stain on front of heating and cooling unit cover. Clean ceiling fan blades in resident room. Observed dust on ceiling fan blades in resident room.***Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). #22. Observed old wooden table at end of facility. Remove old damaged wooden table from premises.***All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d). #30.Observed some discoloration on pill crusher on med cart. Thoroughly clean pill crushers and crack and crevices of pill crusher.*** Mr. Benzie , Ms. Vaughn and Ms. Cassandra present at and during inspection.

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	Touch-up paint door framing to rooms and bathrooms throughout. Repair or replace damaged doors to rooms and bathroom doors within rooms. Repair walls (lower section) throughout in resident rooms. Replace missing wall molding behind bed in resident room. Tightly secure loose rubber cove base molding in rooms and bathrooms.***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	Thoroughly clean bathroom fixtures(shower chairs, toilet risers and floor in shower). Observed microbial growth(pink and black) on underside of shower chair in 17. Repair loose shower wall paneling in room 11 and touch-up paint or repaint cinder block wall in shower where paint is missing. Thoroughly clean floor in shower in room 61 bathroom. Replace rusted fixtures on toilet risers and toilet side arm rest/handles. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	Observed water temperature at beginning of inspection reach as high as 143F. Maintenance director adjusted water temperature on water heater and temperature of hot water throughout building fluctuated between 75F-125F. Hot water temperature shall be 100F-116F. 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).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Thoroughly clean stains on chairs and replace chairs with torn/damaged cushions in residents rooms. Replace torn/damaged mattresses and pillows in residents room. Replace missing screws and bolts on head boards. Thoroughly clean top and edge of over bed tables in rooms. Repair damaged laminate/band on head boards. Thoroughly clean fall mat in resident 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).
35	1	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Observed hair brushes and hair rollers in salon containing hair. Observed base of drawer where hair rollers are stored soiled. Thoroughly clean hair from hair rollers and brushes. Disinfect items between use of different residents. Discard any linen with holes present. Observed holes on sheet in 1 resident room. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).