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|
| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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|
| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Observed frayed carpeting below entrance door to memory care
**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed several areas with stained ceiling tiles.
**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 |
Observed soiled toilet and shower and lifting non-slip strips in shower of room 331. Soiled shower chair, bathtique. Loose toilet seat and toilet not sealed/secured (where it won't shift) to floor, memory care bathroom. Several bathrooms look like they need to be put on a more frequent cleaning schedule.
**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). |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed no paper towels in memory care kitchen. No soap in soiled utility, laundry.
**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 3rd and 2nd floor bathtique.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). |
|
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.- several areas
**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) |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed medication tech staff stated water pitchers are cleaned in med room. Dishes and utensils shall be cleaned in kitchen dishmachine or 3 comp sink.
**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). |
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