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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed base corner of shower soiled in 8905. Observed slow draining hand washing sink and leaking faucet handle in 7912. Monitor faucet handles on hand washing sink throughout. Observed stains on toilet in 11912. Observed grout disintegrating beside hand sink, men's waiting room bathroom. Many sinks throughout with build-up around fixtures, in basins and sink drains. Observed soiled hopper, 3B. Observed broken/loose toilet seat in 1028T; rusty sink drain in 4057; hopper with build up in 3064 and 5075S; yellow and brown build up in toilet bowls of 1028T, nurse station restroom LCH 3, and 6083T; build up around sink drain in 3046. Observed toilet in need of resealing in 4027T. Observed damaged shower mat in 4067. Observed slow/low pressure hand sink in 1029T. Observed slow draining sink in room 2 of LCH 8. Observed cleaning needed on the caulking in shower of room 9004 and on the grout of 11606. . Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed damaged gasket on med refrigeration in 7B. Clean base of omni cells under metal shelving. Observed varnish worn and wearing away from bed side night stand in room 8604. Either re-varnish or replace furniture with worn covering. Observed (1) damaged mattress in slot/bay 2 in OB triage-¿informed mattress has been ordered to replace damaged mattress. Observed high dust on furniture/fixture in OB operating room. Thoroughly clean/dust high fixtures in OR room. Peeling laminate on night stands in patient rooms (#9924 – 9th tower), (#9512 – EPU 9E), (#9128-9A). Observed rusted bedframe and slit in chair rooms 48 (children's ED). Tear in mattress (children's ED) room 40. Dried blood under mattress room 48 (children's ED). Rusted bedframe room 79 (ED). Observed a torn pillow in radiology room 5, in PET Room 04M130. Observed tape on mattress in IR room 1, Nuclear Meds Room. Observed residue under a mattress in ultrasound. Observed cleaning needed on cabinet drawers of bedside table in 9004. Observed chair peeling in room 11611. 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 orange chairs in the library, worn chairs in LCH 5th floor waiting room, and torn racecar couch in LCH 5th floor waiting room. Observed torn pillow in 5060. Observed coffee grounds and coffee spills inside of drawers and cabinets in LCH 5th floor waiting. Observed toys with build up in 3076. |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Dirty sheets in patient room (#9203 -9B, #9512- EPU 9E) Dirty pillow cases in patient room (#9514 – EPU 9E). Observed unlabeled soiled linen carts, 3K, 6CVICU locker room. Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed stained pillow case in 5060. |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
36.Observed interior of microwave and shelving soiled in 7 tower nourishment room. 11T: Nourishment—inside microwave peeling, 11A spills inside fridge in nourishment, 7NICN (north) broken handle on formula fridge. Observed cleaning needed in the refrigerators of STICU nourishment, MICU nourishment, DHU nourishment (tape residue collecting debris/residue), LCH 11 family lounge and nourishment, LCH 10 nourishment, LCH 9 nourishment, and LCH 8 nourishment. Observed roof of microwave in need of cleaning in STICU nourishment, MICU nourishment, NSICU nourishment, LCH 11 family lounge, and LCH 10 nourishment. Observed food debris collecting in drawers of LCH 9 nourishment, LCH 8 family lounge, LCH 8 nourishment, and cabinets of DHU nourishment. |
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