| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed several rooms including room 336 had odors. Make sure floors are mopped regularly and/or carpets cleaned. Wash bath rugs that get soiled.**Keep all flooring clean. 15A NCAC 18A .1309 (a).**All carpet shall be kept odor free. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed wall damage behind door, 2nd floor front hall bathroom. Wall damage in 3rd floor soiled utility.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
4
|
1
|
Lighting at least 10 foot candles 30 inches above floor |
No |
No
|
No |
Observed lighting out in 2nd floor janitor closet and electrical room.All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed sink with residue growth around drain, 1st floor nourishment/common room, 2nd floor laundry, and PT. Beauty shop needs seats and sinks cleaned of hair and dirt. Washers peeling paint, 2nd floor. Counter damage in care managers office, 2nd floor. Cracked grab bar in shower, room 226.**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed no soap, room 143 and soiled utility, 1st floor. No paper towels, 1st floor laundry and 1st floor med tech. No hand sanitizer in beauty salon.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
Observed no disinfectant in memory care bathtique**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed boxes stored on floor and closet in disarray in 2nd floor med tech room.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed pill crusher with build up, 2nd floor med tech. Pill cups stored in baggies with trash at the bottom and plastic cups with lips exposed (stacked too high).**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed frayed corner of PT table. Torn mattress cover, room 367. Damaged balance mat, PT. Crumbs and debris below couch cushions and bureaus in common areas. **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). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Observed housekeeping cart stored in clean linen room and clean linens not covered. All linen cart covered torn/worn.**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).Ms. Amy Blalock present during inspection. |