Premises Information


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Name

CAROLINAS MEDICAL CENTER

Address

1000 BLYTHE BV

City/State/ZIP

CHARLOTTE

28203

Premise Type

41 - Hospitals

County

Mecklenburg

Inspection Date

8/30/2016

Final Score @ Grade

95.50

General Comments

2. Observed used gloves left on the floor and on top of the vending machine in the Med Air corridor. Observed stained carpet in 9E 9504 3. Observed a damaged light fixture in 11A room 1131. Observed a damaged door casing in at 10B stock room. 4. Observed non functioning light in rooms 8D/E 8405, 3T 3931 8. Observed sinks collecting residue on 8T, Pre Op room six, Lobby women’s restroom, 3B 3220. Clogged sink in 10 NICU 10616. Observed sink blocked in LCH 4 Therapy Gym. 6C common shower area in need of cleaning. Shower curtain with residue 11T 11903. Shower bench with a rust bolt 9B 9214. 10. Bed pans observed not labeled in 11T 11903 12. Observed no paper towels at 6C nourishment room, Hall sink near room 7707 17. Observed water fountains with low or high water pressure on 7T, 7C, 8B. Observed water fountains with residue, Children’s ED waiting room 19. Ice machines with residue ED Hold, LCH 2 Library, LCH 7 family lounge 18. Observed water pitcher not labeled in room 10A 10123 21. Dumpster area observed collecting residue. 33. Observed tape residue on linen in 5925. Observed soiled towels on common shower room floor in patient shower 6C. Observed a damaged sheet in 11B 11218 34. Personal care items stored with linen on linen carts on 6B, 9T, 9A. Linen must be stored separately from other clean items. 38. Observed 6A nourishment room handwashing sink being used for coffee pot washing sink only. Soap and towels were removed. Re-establish this sink for handwashing. 43. Observed thermometer missing in refrigerators 8 D/E 8405, LCH 9 9010

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed sinks collecting residue on 8T, Pre Op room six, Lobby women’s restroom, 3B 3220. Clogged sink in 10 NICU 10616. Observed sink blocked in LCH 4 Therapy Gym. 6C common shower area in need of cleaning. Shower curtain with residue 11T 11903. Shower bench with a rust bolt 9B 9214 Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed old procedure stickers on a mattress in 8B 8208. Tape and a stain on a mattress in slot 4 8C OB Triage, AEC room 70 with tape on the bed. Damaged chair in room 3220 3B. Damaged cabinet door 3219. Damaged night stands in a NICU family sleep room. Damaged zipper on mattress cover in room 7712. Damaged mattresses in rooms 6304, 10B. Damaged pillow in room 5925. Observed bed frames rusting in 11B 11208, LCH 11 room 18, 9T 9907, 9A 9113, 9B 9214, 9E 9504, 10B '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).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Observed food service equipment in nourishment rooms collecting residue/debris on 7B, 7A, 8B, OT Triage, 8 D/E, 10 NICU, NICU waiting room, LCH 1 vending area, Endoscopy, LCH 10 1002, LCH 8 family room, LCH 9 freezer, 9T Med area, 10B med area. 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).
39	2	Food supply complies with 15A NCAC 18A .2600	No	No	No	Observed salads not date marked in Radiology Observation area. Observed bagged lunches dated for 9/1/16. Per food service staff, the date on the food should be the date prepared. Date mark foods per NC Food Code requirements. Observed kitchen staff transporting sandwiches in hallway on 6th floor. Sandwiches observed at 51 F. All food and food supplies provided by an institution shall be from sources that comply with 15A NCAC 18A. 2600. All food and food supplies shall be clean, free from spoilage, free from adulteration and misbranding, and safe for human consumption. 15A NCAC 18A .1321 (a).