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

8/1/2019

Final Score @ Grade

94.50

General Comments

3- Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed dining rooms near front entrance and in park place with wall damage and patient rooms with scuffs. 4- 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 two spas with lights out above the shower. 6- Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). Observed air vents in hallways with build-up of dust and debris. 17- Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed drinking fountains in need of cleaning, visible microbial growth.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	1	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 all spas in each hall in need of cleaning tis includes toliet chairs, shpower chairs, lay down shower facilities, toliet seats. Observed room 904, 805, 403, 208 with visible spoilage on toilet chair.
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 all soiled utility rooms being used for storage. Not a correct area for storage due to cotamination.
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	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 ice drinking cart with ice chest on it where ice chest was able to be opened by the public or a resident. Cart sits in kitchen area normally when not being used to pass out drinking water. CDI-PIC moved cart to a locked room and was informed cart needs to remain unaccesible to the public.
30	1	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed medication cart down hall 300, 800, 900 visibly soiled and a few loose pills in hall 300 cart.
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 stained chairs in lounge areas, dining rooms, and patient rooms. Observed damaged tables, soiled food trays in room 403, 904.
33	1	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). Oberved stained sheets inrooms 605, 901, stianed pillow cases in room 403, 904.