|
12
|
3
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Repeat Non-Compliance: Observed hand sanitizer out in beauty shop. No soap or paper towels in soiled utility, memory care. No paper towels, laundry memory care.**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 bathtique, 3rd floor.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
15
|
2
|
Approved water supply, no cross-connections |
No |
No
|
No |
Observed no backflow preventer in room 165.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed diapers stored on floor and bandages stored below hand sink in 3rd floor wellness.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeat Non-Compliance: Observed taped corners of PT bed, Remove tape. If corners are damaged then they need repair. Garbage and food below cushions on most common furniture. Beauty salon needs general cleaning.**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 clean linen not protected in clean line room, memory care. Torn linen cart covers 2nd floor wellness center and memory care. Splattered clean line shelf, 2nd floor wellness center. Laundry area in memory care needs soap residue around washer cleaned up.**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).**Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). |