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

4/4/2019

Final Score @ Grade

General Comments

No points were deducted for the following: 2. Observed the floor with staining behind the toilet and in the shower in room 506. Needs to be cleaned. **Keep all flooring clean. 15A NCAC 18A .1309 (a). 13. Observed water temperature reach 118-119F in one half of the building (100-400 unit). Ensure that water temperature falls within range. **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. Observed pillows in plastic bags stored on the floor in the laundry room. Ensure that resident items are stored off the floor. **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). 35. Observed hair in roller in the beauty salon. Needs to be cleaned after each resident use. **Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	2	Facilities conveniently located, clean and in good repair	No	No	No	Observed toilet bowl and toilet chair in need of cleaning in room 304. Staff was called to clean during the inspection. Observed loose toilet seats in rooms 603 and 702. Needs to be tightened. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	Observed ice machine chutes in need of cleaning the serving areas on units 300-400 and 500-600. Needs to be cleaned at a higher frequency. **Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Observed interior of cabinets with brown, black and pink residue in the serving areas on each unit. Needs to be cleaned. **Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).