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

4/26/2019

Final Score @ Grade

94.50

General Comments

2) Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed food debris on floor in therapy storage room and room 43. 5) Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed ac vent filter with heavy dust build up in room 10. All other vents looked great. 26) There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Observed ants in room 10. Exterminator was on site treating pest by end of inspection. 30) Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed spills in bottom med cart drawers. 32) 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). Observed wheel chair in 57 with severely worn arms. Observed torn vinyl on chair in room 28. Observed damaged free weights in therapy room. REPEAT VIOLATION Improvement from previous inspection. 42) All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). Observed med pass shake on med carts in ice. Shakes are held above 45F, even though in ice. Product states that it must be used within 4 hours if not refrigerated. Current procedure is to use it until it is gone (about 8 hours). During inspection, director changed procedure to have nurses write start and end times on shakes and discard after 4 hours as product states. At time of inspection, product had been out for approximately 3 hours. NOTE: Observed chemical being used to sanitize in therapy room to have a 10 minute contact time. EHS recommends finding a chemical with shorter contact time due to the high patient load in that area.

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	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed damaged/ stained ceiling tiles in laundry room, and room 39 bathroom. Observed wall damage in bathrooms throughout facility. Observed touch up paint needed throughout rooms. REPEAT VIOLATION
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower chairs with pink build up. Observed showerheads with pink build up. Observed shower curtain in rooms 3 and 51 with pink build up. REPEAT VIOLATION Some improvement from previous inspection Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet tank lid cracked in room 3.
27	1	Pet areas clean, veterinary records available	No	No	No	Provide vet records for animals on premises. 15A NCAC 18A .1317(f) Observed 4 therapy dogs without up to date vaccination records.
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed briefs stored on the floor in room 39. Observed gloves stored on the floor in central supply room. Observed some comingled resident soaps and combs in shared rooms. REPEAT VIOLATION 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). Observed cases of purell stored on the floor in central supply. Observed therapy storage room full and unable to move items easily for cleaning. Observed hair build up in beauty shop cabinets and drawers. REPEAT VIOLATION
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed torn fitted sheet in room 52 and 3. Observed crumbs in made bed in room 3. Observed torn bed spread in room 39.
34	1	Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately	No	No	No	Observed briefs being stored with clean linen on clean linen cart in therapy room. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). REPEAT VIOLATION