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

11/29/2022

Final Score @ Grade

General Comments

No points for the following violations: #5 Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed air vents with large amount of buildup in room #408 & 304-1 #10 Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed 2 bedpan not labeled for designated patient. #13 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).Observed water temp on 400 hall at 95F in resident rooms. Maintenance supervisor adjusted temperature to 104F. #32 All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed ripped pillow in room #803 #33 Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled linen on bed in Room #803

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	Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet seat loose in spa #2 and toilet in spa on service hall needing cleaning. Repeat-1
21	2	Solid waste stored properly, areas clean, facilities for cleaning	No	No	No	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). Observed soiled linen containers in 2 linen closets uncovered. -2