Premises Information


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Name

ATRIUM HEALTH UNIVERSITY CITY

Address

8800 N TRYON ST

City/State/ZIP

CHARLOTTE

28262

Premise Type

41 - Hospitals

County

Mecklenburg

Inspection Date

12/22/2015

Final Score @ Grade

96.50

General Comments

2. Observed can wash basin collecting residue in cath lab environmental closet. Observed blood on floor in exam room 33 in ED.Keep all flooring clean. 15A NCAC 18A .1309 (a).3. Observed wall damage in radiology storage, room 309, and cath lab environmental closet. Observed water stained ceiling tile over omnicell in endo hallway, and in MRI hallway next to CT Scan 1. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.15. Observed shower wands throughout third floor with no backflow prevention device.Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).17. Observed low pressure on water fountains in maternity wattling room.Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).30. Observed omnicell with dust present at bottom, and medication refrigerators collecting debris/residue.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).33. Observed sheet with tape present on backside in room 540. Observed uncovered bed in hallway in radiology.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).39. Observed refrigerator with patent food dated august and October inAll food and food supplies provided by an institution shall be from sources that comply with 15A NCAC 18A. 2600.

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	Repeat non-compliance: Observed rust stains in 302 and 309. Observed leaking faucet in ED Decontamination. Observed dirty shower curtain and shower chairs in Maternity 26.Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)Improvement from previous inspection.
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed trays stored on hopper in Endo soiled utility. Observed boxes of pillows stored on floor in ED supply room.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).
31	1	Feeding syringes and oral suction catheters handled properly, tube-feeding bags changed per instructions	No	No	No	Observed feeding syringe stored together in water in graduated cylinder in 6th floor ICU 1.Feeding syringes which are reused shall be labeled with the patient's name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use. 15A NCAC 18A .1318 (d).
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	Repeat non-compliance: Observed one damaged chair in 309. Observed tape residue on mattress in cath lab bay and torn mattress in cath lab bay. Observed damaged mattress and boot cover on stirrups in maternity 26, Observed damaged shelf in maternity room 26. Observed dust collecting in 5th floor linen storage in hallway. 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). Improvement from previous inspection.