Premises Information

Name

NINA MOORE HOME

Address

9829 TUFTS DR

City/State/ZIP

CHARLOTTE

28227

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

10/30/2019

Final Score @ Grade

General Comments

Ms. Moore was present during time of inspection and report was emailed to her at dnmoore89@bellsouth.net

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
9	4	BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617)	No	No	No	Clean bed linen in good repair shall be provided for each resident and shall be changed when soiled. 15A NCAC 18A .1617 (b). Observed minor staining on pillow in room 2. Clean. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed minor brown staining on shower curtain in upstairs shower room. Clean.