| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors easy to clean, no obstacles, drains where needed |
No |
No
|
No |
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed the floor was not clean in the 200 hall storage closet, and a floor tile was missing in the hallway near the dining room. |
|
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 the restroom walls were damaged in room 205, a section of cove base was separated from the wall in the employees restroom (medication area), and the lower walls in the dining room with black smudge marks. |
|
4
|
1
|
Lighting at least 10 foot candles 30 inches above floor |
No |
No
|
No |
All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Observed several light were not working throughout the building: 200 hall spa room, laundry room had no overhead light, storage room (living room),room 104 restroom. |
|
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 the shower chair with pink residue in the joints, shower curtains with mildew/ black residue in the 200 hall spa, 100 hall shower, the shower tile and grout with mildew in the 100 hall shower room, the bathtub was not clean in the 200 hall spa room.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed an elevated toilet chair was not clean in room 205 restroom, and the toilet seat was soiled in room 104 restroom. |
|
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 a resident personal belonging were stored in the 200 hall shower room/restroom. (Repeat)
Keep hand washing signs posted in all staff restrooms. 15A NCAC 18A .1312 (b). Observed no hand washing sign was posted in the employee restrooms: Salon and medication room. |
|
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 briefs were stored on the floor in the storage closet in the living room (Repeat).
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 a resident closet with personal items stored piled on the floor in room 205 |
|
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 the couch upholstery in the living room need cleaning, a sitting chair cushion in the living room with brown residue, a couch with a disposable brief beneath the cushioning the multipurpose room, and a bedside table with debris in room 205. |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
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 records for laundry sanitizer. Provide and maintain records for washing machine temperatures and/or chlorine sanitizer concentrations.
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 stuffed animal and blankets left from previous residents were stored with the common linen. |