|
3
|
1
|
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 heavy dust accumulation on walls in laundry room. Observed peeling baseboard throughout 3rd floor hallway and in 3rd floor resident laundry room. Observed water damage on ceiling in rooms 324 and 235. Observed ceiling damage near the 3rd floor nurses station. Observed wall damage in room 235, 2nd floor left hallway shared bathroom, room 202, room 106, and in large laundry room. Observed peeling paint in room 235. a |
|
8
|
2
|
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 non-slip tread in shower of room 322 peeling. Observed pink build up on shower head in room 322. Observed shower bench with black build up in room 322. REPEAT VIOLATION
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed soiled toilet in 3rd floor, left hallway restroom. Observed soiled potty chair in room 322. Observed rusted shower rail in room 204. REPEAT VIOLATION |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed briefs stored on floor in room 235 and 100. Observed patient items on floor in memory care storage and 2nd floor nurses station and 1st floor storage room. REPEAT VIOLATION |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a). Observed heavily stained mattress with strong odor in room 322.
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 room 322 and 2nd floor activity room. Observed crumbs in furniture of room 322 and 3rd floor activity room. Observed damaged couch in 3rd floor activity room. Observed stained pillows in rooms 235 and 106. Observed peeling cabinets in 3rd floor activity room, room 202, and room 106. REPEAT VIOLATION |
|
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 stained comforter in room 106 and room 100. Observed debris in bed of room 100. Observed urine on sheets in room 314. Observed stained pillowcases in rooms 235 and 106. REPEAT VIOLATION
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). Observed no lid on beauty parlor soiled linen container.
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed unlabeled container with soiled linen in 3rd floor electrical room. |
|
42
|
2
|
Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control |
No |
No
|
No |
All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a). Observed apples unwashed and with no sign that says "wash before eating" throughout facility displayed for grab and go. Wash apples and wrap in plastic wrap or a bag or post a sign that says "wash before eating". REPEAT VIOLATION |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in room 235 refrigerator. Observed damaged thermometer in 2nd floor nurses station refrigerator. REPEAT VIOLATION |