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

4/12/2016

Final Score @ Grade

97.50

General Comments

Observed the following: 2. 7 EIM with dust on floor behind laundry machines. 8th floor OR storage room floor with debris. Keep all floors clean. 3. 6D D685 ceiling damaged in bathroom and around vent. 7E wall damaged in main sitting area. 3C C355 with damaged wall. Loose wall paper 5A room 35 shower. Repair leak around window in 5A storage room. NICU storage room with damage ceiling. Keep all ceilings in good repair. 5. Vent with dust in 6A 614. Keep all vents clean. 6D D685 residue on curtain. Keep all curtains clean. 8. 6F room 6818 shower with residue. Slow draining sink in ED care station A med room. Observed toilet support stands in ED with rust. 7E med room, 5A room 35 with leaking faucets. ICU soiled utility with debris in the sink. 5D 594 toilet with residue. Hopper collecting residue in CVRU soiled utility. Soiled diaper changing table in 7th floor gallery lounge. Keep all toilet , handwashing and bathing equipment clean and in good repair. 9. 6C nourishment room ice machine with residue. Keep all ice machines clean. 12. OR A soiled utility with no paper towels at hand washing sink. Clogged soap in dispenser 7EIM soiled utility room. Keep all sinks stocked with soap and disposable towels. 15. Damaged backflow prevention bell in NICU soiled utility room. Keep all backflow equipment in good repair. 24. Large spider observed in Pediatrics medication room. 33. Open bag of soiled linen in 6A soiled utility. Label soiled linen bins in ED. Keep all soiled linen covered and in a labeled container. 34. Medical transport pods stored with clean linen CDRU. Avoid storing non-linen items with clean linen. 30. 6F, ICU, 3C, 5C medication room pill crushers with residue. Keep all pill crushers clean. 43. Damaged thermometers in multiple 8th floor nourishment rooms. Keep a functioning thermometer in all refrigerators.

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 the following: 6th floor CICU nourishment room cabinet with debris. Chemicals stored with patient care items in hallway closet on 6A. Patient care item stored next to sink in 6A nourishment room. ED B med room, 5th floor CATH Lab, 5D med room with cups not properly covered. 7E laundry with debris on the shelves in cabinets. 3C medication room with supplies on the floor. Pediatrics clean supply with multiple clean items on the floor. 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	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed the following: Damaged chair in 6th floor NSICU room 3. Damaged cabinet handle and couch in 6F 6818. Bed frame with rust in 6A room 614, 870, and 878. OR A clean storage with beds collecting residue. ED A room 9 bed frame collecting trash inside the frame due to missing caps. ICU room 6 with damaged mattress. Damaged linen on mattress in Dialysis. 5F nourishment cabinet with residue. 5F nourishment with water damaged cabinet door. Damaged over bed tables observed throughout 5th floor. Cath Lab body positioners collecting residue. CPPU Exam room 19 with a damaged mattress. Rusty tables on balcony 8th floor family care. Family care infant observation room with damaged wooden beds. 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 the following: 6th floor CICU, 6C, ICU, 5C nourishment refrigerators with debris/residue. Damaged drawer in 6F nourishment room refrigerator. CVOR refrigerator with residue on the gasket. Coffee machine in Tucker’s waiting room. 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).