Premises Information


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Name

BRIGHTON GARDENS OF CHARLOTTE

Address

6000 PARK SOUTH DR

City/State/ZIP

CHARLOTTE

28210

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/2/2015

Final Score @ Grade

General Comments

2. Observed cat food and water spilled onto the floor in room 366 (suggestion: provide a mat under the pet's food). Observed a few areas of stained carpeting.Keep all flooring clean. 15A NCAC 18A .1309 (a).7. Observed a heavy smell of cigarette smoke in the hall by the (original) salon. Ensure smoking is being done far enough away from the building so that the smoke does not enter.Smoking rooms shall be ventilated to prevent environmental tobacco smoke from moving into other portions of the building. 15A NCAC 18A .1311 (e). 9. Observed the Bathtique being used as the salon. Observed chairs, dryers, etc stored there. Per Mr. Dante, the salon will be renovated in about a week (renovations begin today).Toilet rooms shall not be used for storage. See rule .1312 (b).16. Observed incomplete Backup Water Supply Plan. Missing item was entered during the inspection.Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). 27. -Observed several rooms with pets and strong smells. Some of the rooms are in need of the litter boxes to be cleaned.-Observed 1 cat with an expired rabies record. Provide shot ASAP.Animal pens, litter boxes, bird cages and other areas on the premises shall be cleaned to minimize accumulation of animal wastes, pet dander and allergens. 15A NCAC 18A .1317 (e).Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f).36.-Observed the microwave and refrigerator gasket with residue and debris in room 366.All kitchenware and food contact surfaces of equipment, exclusive or cooking surfaces of equipment, used in preparation or serving of food or drink, and all food storage utensils, shall be cleaned after each use. 15A NCAC 18A .1320 (c).Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).-Observed the bread maker in the Activity area and the popcorn maker in the Bistro with residue and debris inside. Clean.Bread machines, soup kettles, and other food contact items used at nutrition stations shall be so constructed as to be easily cleanable. 15A NCAC 18A .1320 (a).37. Observed a pan of 12 muffins baked in the activity room. The employee was informed of the rules below.Meals prepared in an activity kitchen equipped with domestic equipment shall be limited to a group of 12 or less individuals. 15A NCAC 18A .1320 (a).Potentially hazardous foods prepared in rehabilitation activity kitchens shall not be served to groups of more than 12 people. 15A NCAC 18A .1320 (a).43. Observed no thermometer in the refrigerator in room 235.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).Mr. Dante Johnson present during the inspection.Report emailed to Dante.Johnson@sunriseseniorliving.com & CharlotteBG.ED@sunriseseniorliving.com

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	2	Walls and ceilings cleanable, clean, good repair	No	No	No	Repeat Non-Compliance: Observed stained ceiling tiles in the halls, activity room (MC unit), and hall restrooms. Observed holes in the walls and doors in room 337. Observed wall paper peeling on the 3rd floor halls. Observed vomit on the window sill and floor in room 337.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Repeat Non-Compliance: Observed loose toilet seats throughout (some resident rooms as well as hall restrooms). Observed rusted toilet chair in 316. Observed pink buildup around the drains of several sinks in restrooms, Activity, etc, Observed several shower heads with pink and/or calcium buildup. Observed restroom sink slow draining in 224.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).Keep all handwashing facilities 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).
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	Observed the hydration cart (silver ice chest) sitting in the hallway unprotected (2nd floor).Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).
28	1	Adequate storage, area clean, items properly stored	No	No	No	Repeat Non-Compliance: Observed diapers stored on floors and below sink plumbing in several rooms. Observed boxes of cups stored on the floor in 2nd floor med room.Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).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 2 med carts with cups stored not protected nor inverted.Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Repeat Non-compliance: Observed stained chair cushions and/or under the cushions in some of the common areas (Urine smell present around some of the stains). Observed stained mattresses in rooms 324 and 316. Observed residue collected on the drawers in the 2nd floor common room under the sink.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	2	Linen changed when soiled. Soiled linen handled properly	No	No	No	-Repeat Non-Compliance: Observed stains and/or holes in linen in rooms 224, 217, and 324.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).-Observed the soiled linen and trash stored uncovered in the Utility room on the MC hall. Strong smell present. Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b).
34	2	Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately	No	No	No	Repeat Non-Compliance: Observed clean linens not properly covered in linen rooms with housekeeping cart, janitor storage, and other storage.- 3rd floor**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)