|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed leak at hand sink in bathroom dialysis. Leak at processing sink in soiled sterile processing. Blocked sink in cath lab soiled util. and instrument room.
**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
**Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). |
|
13
|
1
|
Lavatory and bathing hot water between 100 and 116 F |
No |
No
|
No |
Observed hand sinks in foot and ankle only reaching 80F or taking an excessive amount of time to reach 100F.
**Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed gowns stored on the floor in clean supply (5N), toilet paper stored on the floor in the housekeeping closets (5N and 7th floor), and bags of pillows were stored on the floor ICU. Personal items intermingled with patient care items thoughout 1st floor.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
**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). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed unlabeled personal food in family waiting, 7S and in nourishment room 7N.
**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |