| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
0
|
Walls and ceilings clean, good repair |
No |
No
|
No |
1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed scuffed walls throughout patient rooms, Observed scuffed door frames throughout all areas of (7B, 7T) 8T, 8A, 8B/OB TRIAGE NURSERY - 8C 8DE, 8L (APC), stained ceiling tiles in room 11609, storage closets with chipping paint on 9L and 10L |
|
7
|
0
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed black mildew along shower tiles in guest rooms, deep cleaning needed and keep clean (9th and 10th floor). Observed a slow draining sink in 10DE 403, a loose faucet in 10 A 125 bathroom. Observed leaking sink in 11T clean supply, sink in need of cleaning with residue in 11T clean supply. |
|
8
|
0
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no handwashing signs posted at handsinks in employee restrooms throughout. Observed some staff/family restrooms across floors without hand washing signs on Levine 9 and 10. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed a non functioning paper towel dispenser in 9T and 11T Soiled Utility. |
|
16
|
0
|
Hot water between 105°F and 116°F |
No |
No
|
No |
1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water ranging between 103F-105F sporadically throughout 4th (4th tower patient room 102F), 6th, and 7th floor. Observed water reach 72F in radiology restroom. Observed hot water ranging between 103F-105F sporadically throughout 4th (4th tower patient room 102F), 6th, and 7th floor. |
|
26
|
1
|
Premises properly maintained |
No |
No
|
No |
Observed trash in debris under dumpster on loading dock.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborage’s. |
|
29
|
0
|
Pesticides registered and approved for institutional use, properly handled |
No |
No
|
No |
.1317 (b) Only pesticides that are registered in accordance with 40 C.F.R. 152 and G.S. 143-442 shall be used to control pests. Pesticides shall be used, handled, and stored in accordance with the instructions on the manufacturer's label. Observed a wound irrigation bottle refilled with a cleaner in 11C ortho supply. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed broken side tables in family launch on 8th floor. Repair/replace broken tables. Observed a damaged chair in 9 Epilepsy room 9506, damaged couch vinyl 10T 403, damaged couch vinyl 9B 9201, water damaged cabinet under coffee pot in 9A nourishment. Observed cleaning needed under microwaves in 7B, 7T, 8T, 8A, 8B/OB, 8C, 8 DE, 8L APC. |
|
35
|
0
|
Resident’s personal laundry properly handled; containers properly labeled; combined resident’s laundry properly handled |
No |
No
|
No |
.1319 (d) Clothing and linens that are provided by a resident for the resident's personal use shall be that resident's personal laundry. Personal laundry that is not clean shall be kept separate from clean clothing and linens using covered containers or bags that are labeled to indicate their contents and kept clean between uses. Observed unlabeled soiled linen cart on 11B. |
|
38
|
0
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed food debris inside several microwaves in family launch and nourishment rooms. Need general cleaning needed and keep clean. Observed a cracked refrigerator drawer in 9T nourishment room. |
|
44
|
0
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed sandwiches delivered to 9A nourishment around 8:30 am at 45 F. Advised manager to ensure sandwiches cool to 41 F within 4 hours. Recommend having kitchen staff deliver food so that temperature is maintained at 41F or below. |