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

1/4/2019

Final Score @ Grade

General Comments

NO POINTS #12: Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no paper towels at 1 sink in soiled utility room. CDI-replaced #15: Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed no backflow preventer on shower wand in room 108. #16: The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing. If an assessment determines that tap water is not to be used for drinking, sources shall be prominently labeled or hooded to restrict use and potable water shall be provided. Observed incomplete back-up water supply plan. **#8 points taken Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower bed with debris, 100 hall spa. Observed most shower chairs with undersides soiled. Some shower chairs had soiling on chair surface or in holes on seat. Clean all shower chairs thoroughly. Observed shower curtains soiled throughout in several resident bathroom within rooms. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet needs old caulking replaced around base, room 108. Several toilet chairs soiled under seat or on toilet base under chair. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed build-up in and around sinks in med rooms. Observed backsplash swollen and pulled away from wall.

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	Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed flooring with build-up and debris behind storage boxes on floor and in storage closets/med rooms and janitors throughout. Flooring in showers in resident's rooms have discolored grout. Grouting should be cleaned frequently enough where it shouldn't be mildewing. Several shower curtains soiled. Change more frequently.
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. Observed walls splattered throughout in multi purpose rooms, common eating area and residents rooms. Repair any physical damage to walls.
8	2	Facilities conveniently located, clean and in good repair	No	No	No	see page 5.
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	15A NCAC 18A .1312 TOILET: HANDWASHING: LAUNDRY: AND BATHING FACILITIES : Where disposable bedpans are reused, they shall be labeled with the patient's name and date and shall not be used by more than one patient. Observed unlabeled bedpans in room 314.
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	15A NCAC 18A .1318 MISCELLANEOUS (a) Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean. All patient care or consumable items shall be stored at least eight inches above the floor to prevent water contamination from cleaning floors and shall not be stored below exposed sewer lines. Observed cabinets and microwaves need more frequent cleaning.
32	1	Furniture clean and in good repair. Mattresses clean, dry, odor free	No	No	No	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). Observe divider drapes, blinds, window sills, common area funiture and under couch/chair cushions need cleaning.
34	1	Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately	No	No	No	Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linens intermingled with non-linens in several clean linen rooms and clean linen carts.