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

2/2/2018

Final Score @ Grade

90.50

General Comments

Escorted by Frank Taylor; report received by Howard Staple NO POINT DEDUCTION FOR THE FOLLOWING: 11. Observed a pile of ice inside the service kitchen hand washing sink. **Hand washing sinks are for hand washing only. 14. Observed new "Maintenance Solution Fresh Breeze Neutral Disinfectant & Detergent" is not labeled for use in institutional facilities as a disinfectant. Discussion with product representative stated the product is an air freshener ONLY. New product was not yet in use, and housekeeping carts were supplied with Spartan Disinfectant. Observed no disinfectant stored in the spa rooms, however, the staff stated the disinfectant was accessible on housekeeping cart and housekeeping closets when needed. **Provide training for all staff responsible for cleaning and disinfecting skin contact bathing equipment. 28. Observed an air mattress was stored on the floor in the equipment room (600 hall). **Patient care and contact items must be stored above 8 inches of the floor. 30. Observed single service drinking cups were over stacked and were not covered/protected on the 500 and 600 hall med carts. **Drinking and eating utensils must be covered. 33. Observed the label on the soiled linen bin in the beauty salon was worn off, and the soiled linen bin (clothing protectors) was not labeled as "soiled linen" in the dining room. **Label all carts/containers "soiled linen". 43. Observed the facility issued refrigerator was at 56F in room 322. Only commercially packaged juice was stored; there was not potentially hazardous food stored inside the refrigerator. **Ensure refrigeration temperature is below 45F. Also, observed temperature logs for resident room refrigerators were used incorrectly (same temp logged for each day, temp logged pre-fill through 2/17). **Ensure the actual internal temperature of the refrigeration unit is documented on the log so intervention can be made of the unit is not a sufficient temperature. Provide in-service training for staff monitoring refrigeration temperatures.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
2	1	Floors clean, carpet clean, dry, odor free	No	No	No	(REPEAT) Observed soiled gloves on the floor in several soled linen closets, dried white liquid spill on the carpet/floor electrical outlet in the 500/600 hall living room, soiled linen closet with dried spill on the floor (400 hall), the oxygen storage room floor was very dusty, and the floor was damaged and missing a transition strip in the lift storage room (200 hall). **Keep all flooring clean. 15A NCAC 18A .1309 (a).
8	2	Facilities conveniently located, clean and in good repair	No	No	No	(REPEAT) Observed elevated toilet seats were rusty in rooms 410, 322, 506; the elevated toilet seat was not clean in room 506; shower chairs were soiled in rooms 506, 206, 322; the grout in need of cleaning surrounding the toilet in the spa room; and the hand washing sink was not clean in the serving kitchen. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	(REPEAT) Observed the bedpan was not labeled in room 410. **Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
18	1	Drinking utensils properly handled	No	No	No	(REPEAT) Observed disposable water pitchers in resident rooms (410, 322, 615, 206, 506) were not labeled with the resident name and date issued. **Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a).
36	1	Approved utensils and equipment, cleaned and sanitized	No	No	No	Observed the refrigerator with dried sticky spills and food debris, the cabinet door and drawer with dried sticky spill and a broken shelf, the ice scoop container with residue and the ice scoop handle was broken off. **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).
39	4	Food supply complies with 15A NCAC 18A .2600	No	No	No	(REPEAT) Observed opened high protein milk-based drinks were stored on medication carts on ice baths was 62F (600 hall), 65F on 500 hall, and 57F on the med cart in the 100/200. **All food and food supplies provided by an institution shall be from sources that comply with 15A NCAC 18A. 2600. Recommend using time as a public health control for potentially hazardous drinks on the med carts that can not mainatin 45F or below.