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

8/18/2014

Final Score @ Grade

General Comments

Colleen Anderson and Roy Culp were present during the inspection. **The 500 and 600 wings were not in use during the inspection.#2 - Observed some storage areas with accumulated dust on floors. **Keep all flooring clean. See rule .1309 (a).#12 - Observed no paper towels at the hand washing sink in the 300/400 food prep area. **Provide liquid soap and disposable towels at all handwashing sinks. See rule .1312 (d).#13 - Observed the hot water in room 304 was 98F, and 91F in room 403. Hot water in both rooms was corrected to 101-102F. **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).#15 - Observed backflow prevention device on hair washing/hand washing basin was not connected. Maintenance staff stated backflow prevention was built into the faucet. **Provide product description/spec for faucet and maintain these documents.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. Seer rule .1313 (d).#19 - Observed the ice machine drain was clogged in the 300/400 food prep area. **Ice machines, buckets, other containers, and scoops shall be maintained in good repair. 15A NCAC 18A .1314 (b).#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).#21 - Observed the exterior dumpster was leaking, and some trash cans were over flowing in the spa restrooms. **All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). **

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	Observed an elevated toilet seat was soiled in room 708, the toilet was soiled in the 500 wing hall restroom, and the staff toilet was clogged near the laundry room. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).Observed the sink was blocked with stoage in the 100/400 wing med prep room. Keep all required hand washing sinks readily accessible.**Handwashing facilities shall be provided in kitchens, food preparation areas, sterile supply processing areas, medication rooms, laundry areas, and soiled utility rooms. 15A NCAC 18A .1312 (d).