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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 |
|
|---|
|
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 undersides of shower chairs in bathrooms and spas throughout facility with residue in need of cleaning. REPEAT.
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed handsinks in most chemical dispensing rooms blocked by housekeeping carts when carts are not in use. |
|
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 that none of the spa rooms were supplied with disinfectant throughout facility. |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed that water fountains throughout facility were either angled too high or low, resulting in water spilling into the floor or making fountain difficult to drink from. |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed various medical supplies stored under sinks in med rooms throughout facility and in wellness center in main hall.
Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed shelf lining stored within splash zone of handsink in Forest Hills med room. Observed wheelchairs and other items such as broken chairs, shelving and gym equipment stored in resident restrooms and in spa rooms throughout facility. |
|
32
|
1
|
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 all couches in common areas in facility with trash and food debris under couch cushions and some chairs with staining as well. |
|
33
|
1
|
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 stained mattresses in rooms 236, 264, 364, and 366, as well as ripped pillows in rooms 264, 269, and 366. |
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