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

5/8/2019

Final Score @ Grade

General Comments

NO POINTS TAKEN FOR THE FOLLOWING VIOLATIONS. #2. Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed stain on second floor hallway. Observed general cleaning needed on floors in storage rooms throughout facility. #16 Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). Observed no back up water supply plan. (a) Water supplies at institutions shall meet the requirements in 15A NCAC 18C or 15A NCAC 18A .1700. (b) Non-community public water supplies shall be listed with the Public Water Supply Section, Division of Environmental Health. (c) In institutions that use a non-community water supply, a sample of water shall be collected by the Department at least once a year and submitted to the Division of Laboratory Services or other laboratory certified by the Department to perform bacteriological examinations. (d) Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. (e) Hot water heating facilities shall be provided. Hot and cold running water under pressure shall be provided to food preparation areas, and to any other areas where water is required in sufficient quantities to carry out all operations. (f) The local health department shall be immediately notified if the primary water supply is interrupted for more than four hours. Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. If an assessment determines that tap water is not to be used for drinking, sources shall be prominently labeled or hooded to restrict use and potable water shall be provided. #34. All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed no record detailing the EPA registered sanitizer concentration strength used when commingling laundry.

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 walls with staining laundry room area on first floor, salon room, and storage room supply closet located in memory care of first floor.
8	2	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 head with pink residue build up in room 313. Observed loose toilet seats in rooms 152 and 363. Observed yellow build up in shower in room 363. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed stains on toilet seating in rooms 346, 363, 212, 164. Observed stains and build up in actual toilet in rooms 142, 248, 313, 311. Observed cleaning needed under toilet seat in bathique located in memory care and cleaning needed under the toilet seat in bathique located in memory care.
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	Toilet rooms shall not be used for storage. See rule .1312 (b). Observed bathique located on third floor with boxes being stored inside.
14	1	Disinfectant accessible, properly used	No	No	No	A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no chemical disinfectant in bathique located in memory care. Per conversation, employees only used cleaners without disinfectant to clean in between residents and they did not know how long the contact time is for the disinfectant.
28	1	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 single service items stored on floor throughout facilities storage rooms and medication room on third floor. Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed patient care items stored under handsinks in rooms 363, 322, 265, and 248.
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	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 staining on mattress in room 311. Observed chair in therapy room on third floor with staining. Observed staining on couch in library in third floor. Observed staining on chair in rooms 313 and 142. Observed staining on pillows in rooms 363, 212.
33	2	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 staining on bed linen in room 346. Observed severely soiled mattress pad in room 363.
43	0.50	Food storage units with thermometers, maintain temperatures	No	No	No	All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed thermometer needed in refrigerators in rooms 265 and 311.