Premises Information


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Name

CLEAR CREEK NURSING AND REHABILITATION CENTER

Address

10506 CLEAR CREEK COMMERCE DR

City/State/ZIP

MINT HILL

28227

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/8/2013

Final Score @ Grade

General Comments

Coleen Anderson was present during the inspection. The facility had two residents at the time of inspection on the 100/200 wing.#2 - Observed some areas with construction dust on floors. **Keep all flooring clean. See rule .1309 (a).#14 - Observed the H2Orange2 cleaner/sanitizer for the spa tubs is not an EPA registered disinfectant. Provide an approved disinfectant for all spa tubs, and community/shared showers. **Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. See rule .1312 (f). **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. See rule .1312 (f).#15 - Observed backflow prevention device on hair wasing basin was not connected. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. Seer rule .1313 (d).#16 - Observed no back-up water supply plan. Back-up Water Supply Plan Checklist was issued. **Provide a written plan that meets all parts of .1313 (f). #12 - Observed no soap at the hand washing/hair wash basin in the salon. **Provide liquid soap and disposable towels at all handwashing sinks. See rule .1312 (d). #17 - Observed the water pressure was too low on the water fountains on the main hall (accross from PT). **Drinking fountains shall be kept clean and properly regulated. See rule .1314#34 - Ensure that commercial washers used for washing/sanitizing linen are properly calibrated. Maintain documentation from supply/service company. **All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in .1319 (b). #35 - Observed Bio specimen refrigerator and centifuge machine (blood) was set up for use in the 500/600 med prep room with clean supplies; observed oxygen tanks were stored in the soile utility room on the 100/200 wing. **Soiled patient contact items shall be take to a designated area for cleaning and shall be stored separately from clean items. See rule .1319 (c).#43 - Observed no thermometer in the 500/600 wing nourishment room; the area was not yet in use. **All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. See rule .1323 (b).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed the soiled linen storage carts/containers were not labled throughout the facility. Ensure that a soiled linen container is provided for the salon and soiled linen (bibs/napkins) are properly stored in the satallite dining areas.**Carts used for soiled laundry shall be labeled for soiled laundry use only. Use the phrase "SOILED LINEN". See rule .1319 (b).