| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed: Wall damage behind several hand washing sinks (point of wall connection). Wall and ceiling damage in the 200 hall Spa.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed: Most AC unit filters dirty.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). |
|
6
|
1.50
|
No evidence of microbial growth |
No |
No
|
No |
Observed: Excessive mold growth on the shower floor and walls in the 200 hall shower room.Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed: A loose toilet seat in 107. The shower chair dirty in the 100 hall Spa. No hand sanitizer in the laundry room. Loose toilet seat in the 200 hall Spa. Dirty toilet seat in 204.Keep all bathing equipment, sinks, and toilets clean and in good repair. 15A NCAC 18A .1312 (a), (b), and (f).Facilities in operation prior to March 1, 2003 that do not have hand washing lavatories in all areas required shall have an approved hand hygiene program established. 15A NCAC 18A .1312 (d). |
|
14
|
2
|
Disinfectant accessible, properly used |
No |
No
|
No |
Repeat: Observed: No disinfectant in the 100 and 200 shower rooms.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).Provide correct spray bottle for solution. Do not use a sanitizer bottle. |
|
26
|
1
|
Premises clean, no breeding places or rodent harborage |
No |
No
|
No |
Observed: Cigarette butts around rear of building.The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Repeat: Observed: The storage room floors dirty. The rear shed not accessible due to excessive amounts of items being stored. The drawers and cabinets in the salon collecting debris and hair. 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). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeat: Observed: Living room furniture collecting stains. Some end tables in resident rooms damaged. Damaged mini blinds in rooms. A damaged mattress corner in 204.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). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed: Soiled linen in the salon cabinet. Stained linen on the beds in room 108 and 204. Damaged linen in room 203.Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b).Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |