|
7
|
1
|
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 tub stopper lever with build up and faucet dripping in patient room 403. Observed ED with multiple sink drains slow to drain. REPEAT. |
|
8
|
0.50
|
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 several bathrooms missing hand washing signage in new or newly renovated areas. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed in OR, 2 paper towel dispensers are not working causing no paper towels to be availabled. Observed soap dispensers at several hand sinks turning backwards and is not dispensing soap. Repair needed and ensure to provide soap and paper towels at all hand sinks at all times. |
|
16
|
0
|
Hot water between 105°F and 116°F |
No |
No
|
No |
General Comment:
.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 water in ICU 15 and 16 at 120F. Women and child hall way at 118F. Nourishment area at women right across room 228, and room 225 measured at 120F. Public restrooms in ED at 118F. |
|
44
|
0
|
Time/Temperature Control for Safety (TCS) foods maintained as required |
No |
No
|
No |
General Comment:
.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 in Cath lab nourishment room at 60F. Needs to be 41F or below. Staff was aware the refrigerator temperature was incorrect and were adjusting temperature. Sandwiches were voluntarily discarded. |