Premises Information


	Return to Inspections

Name

CAROLINAS MEDICAL CENTER

Address

1000 BLYTHE BV

City/State/ZIP

CHARLOTTE

28203

Premise Type

41 - Hospitals

County

Mecklenburg

Inspection Date

11/20/2013

Final Score @ Grade

95.50

General Comments

2: Stained carpet on 5 and 8 floor LCH family lounges. Dust and debris collecting on the equipment room storage floors on 7, 8, 10 LCH. Dust and debris collecting on the floor in 8 LCH Med Room floor. Dirty floor in LCH 5 floor hall restroom. Vending area of floor 11 with dirty and damaged floor. Keep all flooring clean. 15A NCAC 18A .1309 (a). 3: Wall damage behind the toilet in SHVI Heart Failure, ED Diagnostic Soiled Utility, the hall in front of 11301, 11 STICU room 19, 11609, and 7B staff restroom. Water damaged ceiling tiles in LCH 7 NICU, OR Core B, CT-C, and Pet Scan Area of Uptake Room. The fire alarm strobe light collecting dust on 9A. The sprinkler head collecting dust in 8910. Baseboard damaged in 11T EVS closet. Restroom ceiling damage in 7121. Loose wall paper in 8105, 8T hall restroom, in PT and Ultrasound restroom. A cracked observation window in Nursery. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. 5: Dusty vents in 11B Men’s room, 11936 restroom, 11B Storage room, 10906 restroom, 10932 restroom, 10A shower room, and 11609 restroom. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). 11: IV in a hand sink in Cath Lab. Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d). 13: Hot water ranging from 91.5F-98.2F on LCH floors 8, 9, 10, 11, 12. 95F in the Nursery. Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). 15: No vacuum breaker on the wash line Med Center Air board cleaning area. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). 18: Disposable drinking pitcher not labeled in 7920. Label all disposable water pitchers with the resident’s/patient’s first name and last name. 15A NCAC 18A .1314 (a). 19: Ice machine with calcium build up on 9A Nourishment. Ice machines collecting pink residue in 8B Nurse Station and CVRU Nourishment. 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). 30: Omni cells collecting dust on LCH 4 Med Room, 9T, 10DE, 11A Med Room. Med cart with dirty trays in 11A. Dirty pill crusher on 10A. Dirty food trays placed on a med cart on 11A. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). 34: Clean linen cart not covered on 11B. Torn linen cart cover in 7B Clean Linen Room. Emergency bassinette, with linen, not covered on floor 8. 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). 43: Missing thermometer in LCH 7 Sleep room 3. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).Inspection assisted by Chris Sells, Nykesse Roberts, Tasharra Kenion, and Nicole Bruce.

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	Dirty adhesive leads left on a shower head in a clean room (9932). A dirty step into a shower stall in 10906. A dirty hopper in Med Center Air, and floors 7 and 8. Caulking collecting pink residue in the Nursery. Scale buildup in 8207. Soiled toilet seats in SHVI Core E hall restroom, Radiology restroom, Pre OP, PACU, 5T hall restroom, and Observation Recovery Area. Leaking hand sink in CT hall restroom. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Single service cup sleeve without a top cap in 10 ICU Nourishment. Paper towels within 8” of the floor in ED PEDS EVS closet. A clean pillow stored in DHU Soiled Utility. Pill cups not inverted or protected in 8909. Storage containers collecting dust and debris in SHVI Core C and in CT-C. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Trash and debris collecting in the chair cushions in room 3202. Tape residue collecting on the mattress in ED Major room 1. A damaged mattress cover in ED Diagnostic room 61. Stained couches in LCH 9 Family lounge. Damaged couch in LCH 10 floor room 7. Rusting bed frames in 9931 and 11926. Cracked bassinette and a dusty dresser top in 8909. Baby labor chair with a torn back rest in floor 8 Equipment room. Worn bedside table in 6101. Sticky residue collecting on the mattresses in CT-B and CT-C. Torn mattress on a baby bed in the hall of 4D. Underneath the bedside table collecting residue in PACU room 46, and rooms 1 and 3 of Phase 1. 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).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Soiled linen containers not labeled in the Dock Bio hazard room, 10 ICU Soiled Utility. Soiled linen not fully bagged in 10 ICU Soiled Utility, ED PEDS Soiled Utility. Stained sheets and bed pad in room 8105. 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).Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Coffee spill marks in the cabinet of ED Holding Nourishment. The freezer gasket collecting debris in 9 ICU Nourishment. Dust collecting on top of the fridge in 9A Nourishment. Coffee maker, drawers, and interior of the fridge collecting residue and debris in PACU Nourishment. Coffee maker collecting residue in Phase 2. 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).