Premises Information


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Name

ROYAL PARK REHABILITATION & HEALTH CENTER

Address

2700 ROYAL COMMONS LN

City/State/ZIP

MATTHEWS

28105

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

12/3/2015

Final Score @ Grade

General Comments

.11 Handwashing sinks shall only be used for handwashing 15A NCAC 18A .1312(d) Observed handwashing sink in the clean linen closet with rice and food in it, thus the handsink is being used as a dump sink. Advised to only use handsinks for handwashing. 13 The facility shall provide hot water within the temperature range of 100F to 116F 15A NCAC 18A .1312 (e). Observed the handsink water in the rehab room with a water temperature of 90F. 28 All patient contact items must be 8 inches above the floor 15A NCAC 18A .1318(a). Observed clean linens in the linen closet on the bottom rack that was not 8 inches above the floor. 32 All furniture, mattresses, sleeping mats, curtains, or other furnishings shall be kept clean and in good repair. In room 607, observed the drawer in the night stand torn on the inside and a torn comforter on the bed.34 If hot water is used to sanitize linens the linens shall be washed with a detergent in water at least 160F for 25 minutes. If low water temperature is used to wash linens, the linens shall be washed in at least 50 ppm chlorine or an EPA listed laundry sanitizer shall be usd in accordance with the manufacturer's instructions 15A NCAC 18A .1319 (b). Observed insufficient paper work for the sanitizer solution used for washing the linens. Advised to get paper work from the company that services the machine to provide paperwork that illustrates that the wash solution uses the correct part per million (ppm) solution.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Oberved that the walls throughout the facility had a lot of cuts and scrapes.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	REPEAT VIOLATION: Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed: dirty hoppers throughout the facility (haven't been used in awhile; water marks on the inside of the bowl); rusted toilet seat in room 115; soiled toilet in room 213; soiled toilet seat in the spa; soiled shower chair and toilet in room 607.
10	1	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	REPEAT VIOLATION: Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c). Observed that facility is currently not using their hoppers to clean bedpans. Advised to use hoppers.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed that the bedpans in the facility are not being labeled with the date, and one with no labeleing.All bedside commodes shall be cleaned after each use. 15A NCAC 18A .1312 (c). Observed a bed pan in the 400 hall that was soiled and had not had been cleaned.
30	1	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	REPEAT VIOLATION: Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed single service medicine cups stored in plastic bags with accumulation of debris. Clean bags frequently where these items are stored.
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed the soiled linen carts throughout the facility were not labeled 'soiled linen' on the cart.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 pillow in room 115. Observed red stain on the pillow in room 607.