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

1/3/2018

Final Score @ Grade

General Comments

No Points Deducted for the Following: 5. Observed ventilation filters in need of changing in rooms 509 and 208. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). 13. Observed water temperature at 97F in room 710. Needs to be adjusted to ensure compliance. **Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). 32. Observed worn mattress beginning to peel, exposing mesh covering. Needs to be replaced to ensure moisture is not allowed to seep into mattress cushioning. **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. See rule .1319 (a).

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	Observed soiled shower chair in Spa on The Plaza hallway. Observed stained shower bed in Spa on the 700 hallway. Observed soiled hopper in Soiled Utility room on The Plaza hallway. Items needs to be thoroughly cleaned. Observed slow drain in room 710. Needs to be repaired. Observed loose toilet seat in room 208. Needs to be tightened. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed soiled linen on bed in room 611. Needs to be changed. Observed soiled towel on shower bed in spa. Observed soiled rag hanging in spa. Soiled items to be placed in appropriate locations. Observed soiled towel in the bathroom of room 611. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). 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).
34	1	Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately	No	No	No	Observed items such as disposable undergarments, gloves and paper gowns stored with clean linen on the clean linen cart on the 400 hallway. **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).