| 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 flooring in laundry rooms with cracked tiles, particularly Boat House neighborhood. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seat in room 11.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed a mildewed shower curtain in spa in Garden Path neighborhood. |
|
14
|
2
|
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 no cleaner or disinfectant located in over half of the spa rooms and bathrooms with showers. No disinfectant located for cleaning water jets in tubs per posted cleaning procedure |
|
26
|
1
|
Premises clean, no breeding places or rodent harborage |
No |
No
|
No |
There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Observed live roaches in laundry room of Cottage Place neighborhood. |
|
28
|
1
|
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 personal items being itermingled in bins in laundry rooms such as (solid deodorant, nail clippers, razors, shavers, toothpaste, brushes, and combs. Personal items being locked under room vanities. Protect resident items from contamination by not using skin contact items on several patients or storing under plumbing. |
|
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 broken blinds in room 33. Stained/soiled mattresses, dressers, and common furniture |
|
33
|
2
|
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 soiled linens on very close to every bed checked. Change when soiled
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed 1 soiled linen cart not labeled. |
|
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 facility has changed out laundry detergent dispensers to ones that only dispense detergent. No bleach added to facility linens. Common linens must be sanitized and records of washing machine maintenance must be maintained. |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619. Observed plastic trash bags covering clean multi-use. Staff said that they wash, rinse at 2-comp in kitchen areas then send to kitchen for sanitizing. Do not wash in kitchenette, take to kitchen for scraping and washing. Kitchenette sinks not plumbed to greasetrap. |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b). Observed bags of presumedly sugar stored unlabeled. Items in refrigerators and opened bags of potato chips in kitchenettes. Store and label properly. |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
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 fridge in room 26. |