Premises Information


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Name

NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER

Address

200 HAWTHORNE LN

City/State/ZIP

CHARLOTTE

28204

Premise Type

41 - Hospitals

County

Mecklenburg

Inspection Date

12/17/2015

Final Score @ Grade

97.50

General Comments

2. Observed the following: Dust on floor in 7E904, 7E Laundry, Shower floors with residue 7E 932, Women’s Health room 869. Damage floor 7E 923. Keep floors clean3. Observed the following: Wall damage 7E 923. Baseboard tile damaged at entrance to Women’s Health and entrance to NICU main hand washing area. Repair walls in Bio Hazard rooms and storage rooms in Women’s Health. Minor wall damage in patient rooms on 6th floor. Missing shower towel 5A 533. Keep walls clean and in good repair. 8. Observed the following: Loose rub non-slip strips 7E 913. Sink with residue 7D restraint room. 6A med room with slow draining sink. Keep bathing and handwashing equipment clean and in good repair. 9. Observed the following: CCU tub room with a wheel chair. Keep showers and bathing rooms free of storage. 11. Observed the following: Utensils stored in a nourishment room sink 5A. Keep hand washing sinks free of storage. 13. Observed the following: Hot water at 117.5 F in Adult ED-D room 6. Hot water within Nursery A and B at 94F. Maintain hot water between 100 - 116 F. 18. Observed the following: Water pitchers were not labeled 7E 909, 5A 535, 5F 582, 5C 579. Label water pitchers with the patients name. 28. Observed the following: Storage less than 8 inches above the floor in the main EVS storage area, CATH lab. Cabinet trays collecting debris in the PEDS nourishment area cabinet. Personal care items and phlebotomy items stored on a toilet and next to the sink in Adult ED-D room 6. Cups exposed to contamination in nuclear med room 1, Tucker Waiting room and medication rooms in Women’s Health, cups on floor in 6F storage. CCU equipment stored on the floor in a clean supply room. Chemical wipes stored with clean items in nuclear med room 1. Provide clean and approved storage for all patient related items. 33. Observed the following: Soiled pillow case 7E 923, 7D 694. Soiled 7E 904. Soiled linen not bagged in OR A bio hazard room, 5F soiled utility. Soiled linen on bed in hallway was not covered near Cardio Noninvasive. Properly store all soiled linen. 34. Observed the following: Personal phone and personal drink stored with clean linen in the main clean linen storage room. Bed with clean linen exposed to contamination OR B. Properly handle and store clean linen so that it is not exposed to contamination. 35. Observed cleaned shower chair with residue in 3C storage room. Properly clean all patient contact items before placing the items in clean storage. 36. Observed the following: Rusted shelving in Women’s Health clean utility room 2 refrigerator. Freezer in NICU special care, 6 C nourishment freezer with residue. Microwave with residue 5A and CPPU nourishment. 4C nourishment refrigerator with residue. Keep all food service equipment clean and in good repair. 39. Observed 3C and 5th floor sandwiches with inaccurate date due to date machine error. Products observed with day and year on label. Error corrected during the inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
12	1.50	Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device	No	No	No	Repeat Non-Compliance: Observed the following: Empty soap dispensers in PET soiled utility, Adult ED-D soiled utility, 7E soiled utility, OR A Bio Hazard room. 6B waiting room with no paper towels. 5 D nourishment area needs hand sanitizer. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed the following: One damaged pillow in an Endoscopy procedure room, 7D 797, 7D 694. Stretchers with minor surface damage and tape residue in Adult ED-D room 9, PEDs ED room 3, Adult ED-A room 15, OR B. Room 800 Women’s Health, PACU 19, OR B, OR A hallway, PICU OBS1, Pediatrics treatment room with tape residue on mattress and beds. Damaged mattress 7E 932, PACU 20, OR B. Damaged arm rests on chairs and wooden bassinets throughout Women’s Health. Dust collecting on top of cabinets in Women’s Health. Clean door on Women’s Health non-food ice machine. Rusted bed frames in 5A 508, 5A 533, 5C 583. Damaged chair 5A 508. Laminate at sofa damaged 5F 582. 5F and 5C nourishment cabinets damaged. Room 841 cabinet damaged. All furniture, mattresses, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319