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

4/17/2018

Final Score @ Grade

General Comments

2. Clean floor under hand washing sink in 9E. Clean floor under hand washing sink in public restroom on 11th floor, 8912 and 7A clean utility. Observed damaged base board in 7209. 3. Observed wall damaged in 11113. Observed ceiling damaged around light in 11919. Observed wall damaged and touch-up painting needed in 8th family room, 8th C family room, 8 A soiled utility, 8404, 7209, 8405. Observed door damaged in 8LAPC soiled utility. Observed damaged wall in STICU. Observed base cove slopped molding and wall damaged in 9620 NSICU 5. Observed ceiling vents soiled on 7th and 11th floor in patients’ bathrooms. Clean wall vent in 8926. Observed damaged intake vent in 11618 #12. Observed no soap at hand washing sink in med room on 3T #13. Observed water temperature 95F-97F in surgery holding, charge desk area, PACU overflow, restroom in hallway near bay 47 and 48 , 8C family room, PACU nourishment room and OR2. Monitor and address water temperature at hand washing sinks on 5th and 6th floor. #17. Observed low water pressure on water fountain in pre op clinic. #19. Observed pink and black microbial growth on ice chute ED/AEC nourishment and ED major. Observed ice machine soiled on LCH 9and 8th floor family waiting room. #31. Observed feeding syringes stored together wet in 9213, 10DE and 10T. Do not store syringe together wet. #33. Observed stained sheet and sheet with hair 7907. Observed soiled linen label wearing off of soiled linen bins(7T). Relabel soiled linen bins. Observed stained linen in 8212, 7110, 8611, 8618 and 8103. Replace damaged clean linen storage cart covers on 5T and 6T. #34. Observed several beds not covered in surgery holding hall. Observed compression bandages on clean linen cart in nuclear med. Observed uncovered linen on 8L L&D clean utility, 8B clean utility. Observed Ziploc bags, cups and maternity pads stored with clean linen on 8T #40. Observed patients open personal drink stored on top of hospital food. Patient drink properly stored at time of inspection(11A nourishment room)

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	Observed base of shower curtain soiled in room 8912, 8924 and 9108 bathrooms. Observed shower curtain damaged in 8912.Observed soiled hopper bin in soiled utility room in dialysis and 7A. Observed leaking plumbing fixture on hand washing sink in dialysis general treatment area and room 10905. Tighten loose faucet fixture to hand washing sink counter in 10905. Replace broken shower wand holder in room 10902 shower. Observed slow draining hand washing sink 3915 and fans room. Observed toilet seat soiled in ED waiting room. Observed base floor/wall of shower needing re-grouting (floor 5 room 3, floor 10 room 23 and 8924, 6102). Observed toilet soiled in 11209, 7907. Observed slow draining and soiled hand washing sink in 11901. Re-caulk backsplash to counter top in 11222, 11919, 11901, 8C family room and 8912. Observed shower head with build-up in 8912, 8404, 8405 and 7110. Observed hand washing sink counter damaged 11901. Re-caulk around hand washing sink in 10607. Observed hand washing sink obstructed in 6C and 5T.
28	1	Adequate storage, area clean, items properly stored	No	No	No	Observed cases of single service articles stored on the floor in 10A storage room. Observed plastic cups stored within the splash zone of hand washing sinks in nourishment area of PACU overflow. Observed cabinet door hinge in med room 3T. Observed some storage on the floor in radiology. Observed wall mounted cup dispenser lid missing in nourishment room on 11T. Observed cups not properly stored at coffee station in 11T. Clean base of supply bins in STICU, NSICU and MICU clean supply rooms. Observed employee opened personal drink stored near clean supplies. 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). All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
32	2	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	. Observed rusted bed framing in 9914, 7921, 8912, 8924, 7110 6201. Clean/dust top of high fixtures in room(televisions). Observed soiled /damaged mattress in surgical holding (bay 24). Observed damaged mattress in PACU hall, OR7. Observed tape residue on mattress in storage near OR 31. Observed area under mattress soiled in OR storage area. Clean trash can storage area in OR waiting room. Clean shades, blind and couch cushion in room 11 on 11th floor. Observed rusted bed frame in room 11 and 22 on 11th floor. Observed pillow and mat damage in radiology. Observed damaged pillow in nurse observation 14. Observed stain on curtain in room 11111. Observed ripped/damaged pillows throughout 7th and 11th floor. Observed soiled chairs in lactation room. Observed damaged pillow in 8212. Observed damaged furniture in 8th floor family room, 8C and 8 D family room,8103, 8212 and OB triage. Clean base of IV poles. 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	Clean area under microwave in nourishment area (9T,9A, PACU). Clean cabinet and drawer in nourishment area, microwave interior top and area under microwave, under coffee maker head,). Clean microwave on 8L APC nourishment 9th, 10th floor nourishment room. Clean spillage in refrigeration unit on 11th floor in family waiting room. Clean refrigeration unit in nourishment room on 11B and 11T. Clean breast milk refrigeration unit in NICU south nursery. Observed gasket torn on refrigeration unit in 8924 and 8912. Replace damaged gaskets. Clean area under microwave in LCH1. 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).