Premises Information


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Name

HUNTERSVILLE OAKS

Address

12019 VERHOEFF DR

City/State/ZIP

HUNTERSVILLE

28078

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

10/13/2021

Final Score @ Grade

95.50

General Comments

#6 Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). Observed mildew on shower chair in spa room near 200 hallway. Staff stated spa room was not currently being used. Make sure all shower equipment is cleaned when visibly soiled. #19 Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed ice machines with minor black buildup and visible condensation on side of machine. Ice machine near 200 hallway had minor leak. Staff stated ice machines were due for cleaning this week. Ensure regular cleaning and maintenance of ice machines. #34 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). Observed clean linen cart with patient contacts items stored on cart. CDI - staff removed items from cart. #35 Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed wheelchair stored in room 225 with cracked arm rest. CDI - staff removed chair and sent to have arm rest replaced. All patient contact items shall be clean and in good repair. #43 All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in refrigerator of room 323. Staff stated a thermometer would be placed in refrigerator. Ensure thermometers are in all refrigerators to monitor temperatures. #28 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 storage room in the rehab room with items on the floor. Staff stated room was not used regularly. Ensure all storage rooms are kept clean and patient contact items are kept off of the floor.

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	All walls shall be easily cleanable. 15A NCAC 18A .1310. Observed several ceiling tiles in the facility with minor staining. Ensure all floors, walls and ceilings are clean and in good repair. Staff stated tiles be will e replaced after scheduled maintenance of plumbing lines. Observed room 357 with damaged wall. Minor scuffed walls throughout facility.
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 bathroom in rehab, ALD room with portable toilets stored in bathtub. Unused equipment should be placed in designated storage areas. Observed shower being used as storage in room 323. Toilet rooms shall not be used as storage.
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 spa room near 200 wing with no disinfectant. disinfectant needs to be accessible to all bathing areas.
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 sheet in room 357. Observed torn pillows in room 323. CDI PIC removed pillows and will placed new pillows in resident room 323.