Premises Information


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Name

BROOKDALE SOUTH CHARLOTTE

Address

5515 REA RD

City/State/ZIP

CHARLOTTE

28226

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

7/15/2019

Final Score @ Grade

General Comments

#2 - Floors clean, carpet clean, dry, odor free. Observed soiled carpet in room 216; shall be maintained clean, dry and odor free. #3 - Walls and ceilings cleanable, clean good repair. Touch up wall with paint and replace door stop behind door in common area toilet. #21 - Solid wastes stored properly, areas clean, facilities for cleaning. Pick up old damaged furniture around dumpster area; keep dumpster closed. #30 - Medication carts clean, sharps containers affixed, food and utensils handled properly. Clean dust particles and debris around the exterior base of all of the medication carts. #32 - Furniture clean and in good repair. Clean residue on padding on hospice patient's geriatric chair and area under padding on wheel chair.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Shared bathing equipment that has contact with patient's skin shall be cleaned with detergent and EPA registered hospital between patient uses. Observed stained shower curtain in room #309 and 2nd floor shower room. Keep toilet equipment clean and good repair. Observed soiled toilet seat in room 109. Replace stained toilet seat in resident's room.
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 geriatric chair and clean linen bin in bathroom and common shower. CDI
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 patient personal storage (i.e., pillow & diapers) in the floor in closet. Repeat
35	0.50	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Shared toys subject to mouthing shall be washed and rinsed with soap and water and disinfected with 70 percent alcohol or 100 ppm chlorine after each day's use. 15A NCAC 18A .1319 (c). Observed soiled dolls in the common area within the memory care unit. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Repair ripped padding on patient's weighted scale chair.