|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed: the toilet and toilet seat was dirty in 500 Spa; the bedside commode was not cleaned after use in room 408; and the elevated toilet seat and the shower chair was soiled in room 219.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed: the sink was dirty in room 115.**Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed all of the hand washing sinks in the medication rooms were without soap and paper towels; no soap/towel 400 hall clean utility; and 600 hall clean utility missing paper towels.**Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d). |
|
28
|
0.50
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed: pillow were stored on the floor in 400 hall storage closet; items stored on the bottom shelf in central supply (400 wing) and 600 wing storage room were less than 8 inches above the floor; toothbrushes were stored within the splash zone of the hand sinks in several shared rooms; and boxes of pillow and mattresses were stored on the floor in 500 wing storage room.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**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). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed: bags of soiled linen throughout the facility were piled on the floor in the soiled linen closets and some bags were open; the soiled linen bin in Rehab had no lid; the soiled linen container had a worn/illegible label in ADL Bath; some housekeeping carts with tied-on soiled linen bags were left open; and a pile of un-bagged soiled linen was on the floor in 600 soiled linen room.**Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b).**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed: a resident's catheter bag filled with urine was left in the shower in room 213; and a soiled bar of soap was left at the sink in room 115.**Soiled patient contact items shall be taken to a designated area for cleaning and shall be stored separately from clean items. 15A NCAC 18A .1319 (c).**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).***GENERAL COMMENT - All centrifuge machines must be moved to soiled utility rooms for processing bio hazard samples. |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed unlabeled (non-facility prepared) food was stored in the 600 and wing service kitchens; some items had names but no date.**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |