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

2/8/2022

Final Score @ Grade

General Comments

2. Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed floor stained in soiled utility room next to 400 hall. Observed baseboard had fallen off and a staining possibly from a spill on the floor in janitor closet on hall 400. Observed damage to the floor at the entrance doors on the 800 hall. Observed tile cracked next to toilet in bathroom of occupational therapy room. Needs cleaning or repair. 5. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed build up of dust in vent in spa bathroom on 600 hall. 9. Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheelchair stored in spa room in 700 hall. Observed chair and wheelchair being stored in spa in 600 hall. CDI - Items were removed from spa. 21. All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Observed lids on dumpsters broken. Needs repair. 28. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed boxes of diapers on floor in bathroom of room 711. Needs to be 8 inches above the floor. 30. Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c). Observed cups stacked high on medication carts and uncovered on 900 hall and in 100 hall. Cups should be kept covered. 33. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained sheets on bed in room 203. Needs cleaning.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	2	Walls and ceilings cleanable, clean, good repair	No	No	No	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed damage to the wall in soiled utility room next to 400 hall. Observed damage to wall behind headboard of bed in room 408. Observed section of wall loose in laundry room. Observed wall damage at floor board which manager stated is from a water leak and has a work order in for repair. Needs repair. REPEAT.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed sink linoleum damaged in soiled utility room. Observed caulking wearing away at handsink in activity kitchen on 100 hall. Observed caulking and linoleum damaged at sink in nourishment room in 600 hall. Observed linoleum peeling under sink and caulking wearing away in bathroom of spa on 600 hall. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet chair torn in storage room next to 400 hall. Observed toilet chair rusting in room 203. Observed toilet chairs cushion torn in spa in 700 hall. REPEAT.
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 handle on cabinet missing in activity room kitchen and handle loose on activity room cabinet. Observed cabinets and drawers with debris in nourishment room on 600. Observed headboard and footboard peeling on beds in rooms 408 and 203. Observed recliner torn and arm of wheelchair beginning to tear in room 906. Needs repair. REPEAT.
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed build up of residue and debris in refrigerator in nourishment room in 600 hall. Needs cleaning