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

4/11/2018

Final Score @ Grade

General Comments

#2. Clean floor in soiled utility in ICU and hospice. Observed floor dusty and debris present in soiled utility in oncology. #3. Secure loose corner of wall paper near hand washing sink in C664. Observed stained ceiling tiles in dialysis bay 5 and bay 8 near the light. Observed wall damaged in soiled utility 6A and 538. Touch up paint in dialysis storage, 538, 6A soiled utility, IV room 6A. Clean wall in soiled utility on B side of OR. Touch-up paint wall in H31. Touch-up paint door framing to rooms throughout. Repair wall beside refrigeration unit in family kitchen in PED’s. Repair wall beside crib and refrigeration unit in 215. #4. Observed dim lighting less than 10FCU in seclusion room in 6D behavior health. #5. Observed top of light fixtures soiled/dusty throughout in rooms and bathrooms. #9. Observed several toilet riser/chairs stored in tub room in NSICU. #12. Observed no soap at hand washing sink in exam room in 7D. #13. Observed hot water temperature 67F-75F at hand washing sink in patients room 7D. Observed water temperature 118F in 869, 120F in 868. #14. Observed showers being cleaned and disinfected once a day in double occupancy room. Clean and disinfect showers between different patients. #17. Observed high water pressure on water fountain located on 5F. #18. Observed unlabeled water pitchers in room 5806, 5829 and C572. #28. Observed patients personal belonging stored on the floor in closet in 7E. #33. Observed stained sheet in dialysis bay 12 and 612. Observed soiled linen not covered in OR on both A and B side. Observed soiled sheet on bed in 729, 772,803 and PACU. #34. Observed soiled linen bin not labeled in soiled utility on 5D. Observed clean linen uncovered in clean utility of special maternity. Observed gloves and other items stored on clean linen within clean linen bin.

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 shower curtain and underside of toilet soiled in C664. Secure loose laminate on back splash behind hand washing sink in nourishment room in 6F. Observed stained shower curtain in 527 and pink build up on showerhead in 612. Observed rusted sink drains in hand washing sink between 12 and 13, 5A med room, 5A nourishment room and CPPU. Observed hopper soiled in soiled utility in PED’s b hall. Observed slow hand washing sink drain in 5803. Observed loose non slip strips in base of bath tub and damaged shelving in C566. Observed soiled shower curtain in 6D behavior health. Observed soiled toilet seat in 729. Re-grout base floor of shower in 762. Repair or replace crack shower tile in 868. Clean under shower chair in 869. Clean under toilet seat in 838.
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Observed rusted bed in dialysis bay 12, 538 and 612. Observed worn beside table and damaged furniture in 5A family waiting. Observed tape and tape residue on mattress in B5. Observed damaged cushion on knee portion of the “Andrew” frame on A side of OR. Tighten loose handle on cabinet in H31. Observed damaged chair in H44. Observed damaged pillow in 209 ,PED’s,762 and 796. Observed rusted baby cribs in NICU. Repair damaged cushion on chair in 868. Observed stained cushion on cushion in 869. Observed rusted bed framing in 772. Clean stain on curtains in PACU. 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 damaged gasket on refrigeration unit on nourishment refrigeration unit in NSICU. Observed pink microbial growth on ice machine chute in nourishment area of recovery in PACU. Observed shelving soiled in nourishment area of PACU. Clean cabinet doors in family room. Observed area under microwave soiled in ICU, 3C and hospice. Observed shelving, microwaves, refrigeration units and area under coffee maker soiled in nourishment center on 5C, 5D and 5F. Observed front of cabinet area soiled in 6D. Observed general cleaning on cabinet doors and shelving in nourishment center on 7th floor. Clean base of bins in nourishment rooms. Detail clean breast milk refrigeration unit in med room of women services. Clean refrigeration unit in nourishment refrigeration unit. Clean interior of microwave in nourishment room of special maternity. 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).
42	4	Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control	No	No	No	Observed sandwich in dialysis nourishment refrigeration unit 51F. Observed sandwich 53F in 5A nourishment. Observed several sandwiches in 5F 50F. Observed moldly container of jello in nourishment refrigeration unit in B 5D. Observed patients food on tray stored within the splash zone in nourishment area on 7E. All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).