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

10/11/2021

Final Score @ Grade

93.50

General Comments

#8 Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed dead insects in bathing equipment in spa room near 600 hall that PIC stated was not currently being used. Regularly clean bathing equipment when visibly soiled. #9 Toilet rooms shall not be used for storage. See rule .1312 (b). Observed items stored in Rehab spa room that was not being used per PIC and utility cart stored in shower of room 514. CDI - Staff placed storage sign on rehab spa room. #21 Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c). Observed several storage rooms with debris and used gloves on the floor. Regularly clean floors of storage and linen rooms. #27 Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f). Observed resident with small dog. Facility did not have vaccination records available at time of inspection. Provide pet vaccination records and keep at facility. #28 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). Observed boxes of wheelchair pads stored on bed in rehab room. Per staff the bed was not being used and shipment was received Friday afternoon. Staff stated the wheelchair pads would be labeled and distributed today. EHS recommended using storage rooms for delivery items not beds that may be used for residents. #30 Sharps containers on medication carts shall be affixed or secured to prevent spillage. 15A NCAC 18A .1318 (c). Observed one medical cart with sharps container not affixed. PIC stated affixed units for sharps container will be ordered for all medical carts. Inspection was lead by Mia Lowery #3040

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	All bedside commodes shall be cleaned after each use. 15A NCAC 18A .1312 (c). Observed soiled commodes with debris in rooms 304 and 514. Increase cleaning frequency of all residents rooms and bathrooms.
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	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 temperature above 116F in several rooms. Rooms #: 409, 311, 304, 611 and 108. Maintenance staff stated he will adjust water temperatures to bring temperature below 116F. Will return to follow up on water temperature adjustment.
19	2	Ice protected, dispensed, equipment clean in good repair	No	No	No	Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed several ice carts that were not attended. REAPEAT
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). Observed debris under seat cushions in living/common areas. Ovserved bed mats on floor in storage room near 600 hall. Maintenance staff stated beds had fallen over onto floor and will be properly stored.
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed several rooms with soiled sheets, torn pillows, torn sheet and soiled curtains (409, 403, 304, 514 and 108). Remove soiled sheets, torn pillows and replace with clean. Serviceable sheets and pillows. Visually check residents linen for cleanliness frequently.
35	0.50	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed torn wheelchair arm and worn wheelchair pad in storage room near living area of 400 hall. Repair and replace residents wheelchair arms and pads to prevent bacterial growth in cracks to be maintained smooth and easily cleanable.
43	0.50	Food storage units with thermometers, maintain temperatures	No	No	No	All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). (a) All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. All perishable foods shall be stored at temperatures which will protect against spoilage. Observed no thermometer in resident thermometer and presented a strong odor that indicated food inside may be spoiled. Discard spoiled food in refrigerator and place thermometer in refrigerator to monitor temperature control.