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

1/29/2020

Final Score @ Grade

General Comments

GENERAL COMMENTS NO POINTS FOR THE FOLLOWING VIOLATIONS: #3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed minor scuff markings throughout facility to walls. #13. 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). Observed handsink reach 88F in room 609 and 97F in room 611. #14. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no EPA registered hospital disinfectant accessible in shared spa room located on 400 hallway. #34. 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 documentation within indicating that common linen is being disinfected. EHS informed head of housekeeping to have their service provider, Ecolab, to start leaving the facility with documentation of how much disinfectant is being pumped into washer when common linens are being washed. *NOTE: Paul and Ms. Dot was present during time of inspection. Inspection report was emailed to the following: ghenderson@peakresourcesinc.com

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 two lights out over two separate showers in shared spa room located on 700 hallway.
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 toilets seats in the following areas: room 205, shared spa room located on 400 hallway and, shared spa room located on 600 hallway. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed slits in bathing mats in shared spa rooms. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b). Observed handsink in nourishment kitchen located on long term side of facility needing to be recaulked to wall.
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	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). Observed pink and black build up located inside of ice machine located in nourishment kitchen on long term care side of facility.
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 food debris under pull out couch cushions in "living room" areas throughout facility.
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). Observed food debris in bed in rooms 609 and 707. Observed soiled diaper stored on top of bed linen in room 611.