Premises Information


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Name

PEAK RESOURCES-CHARLOTTE

Address

3223 CENTRAL AV

City/State/ZIP

CHARLOTTE

28205

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/21/2013

Final Score @ Grade

General Comments

3. Observed HVAC vents collecting dust in 'South Park Place' spa, and 'Ballentyne Heights' hall restroom.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.14. -Observed CNA in 'North Lake Village' spa clean the shower chairs by spraying the disinfectant on it, letting it sit for 4 minutes, then spraying it down with water. -Per the CNA on the 'South Park Place' hall, and the housekeeper on the 'Wendover Way' hall, the shower chairs are cleaned by allowing the disinfectant to sit for 5 minutes or immediately spraying it down.*Per the chemical's instructions, the contact time is a minimum of 10 minutes.Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f).28. -Observed outside storage in need of organization. Items are being stored where the floor is inaccessible to clean when necessary.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 box of briefs and urinals on the floor in the 'University Crossing' storage & oxygen room.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).32. Observed a soiled chair cushion in room 304.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).*Ensure employees in the salon are washing their hands. Inspection completed by Nykesse Roberts (500-900 halls) and Eli Freese (100-400 halls).Victor & Keetha present during the inspection.

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	-Repeat Non-Compliance: Observed toilet chairs, shower chairs, and bathing stretchers soiled throughout spas and resident restrooms.-Repeat Non-Compliance: Observed torn bathing stretcher pad in the spa in 'North Lake Village' hall.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	-Repeat Non-Compliance: Observed geri chairs and lifts stored in the spa on the 'Wendover Way' hall.-Repeat Non-Compliance: Observed a geri chair stored in the restroom in room 502.Toilet rooms shall not be used for storage. See rule .1312 (b).
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	-Repeat Non-Compliance: CNA explained that bed pans are being cleaned in the patient's showers on the 'University Crossing' hall.Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c). Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c).
19	2	Ice protected, dispensed, equipment clean in good repair	No	No	No	-Repeat Non-Compliance: Observed cooler of ice that was stored accessible to patients in the hallway of 'Eastway Terrace'.All ice machines and storage chests which are accessible to the residents and the public shall be automatic ice dispensing machines. 15A NCAC 18A .1313 (b).-Observed pink build up in all of the blue ice coolers.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).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	-Observed linen soiled and collecting debris in rooms 804, 702, & 204.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).