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

5/18/2022

Final Score @ Grade

General Comments

NO POINTS FOR THE FOLLOWING VIOLATIONS: #3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed general wear and tear on walls throughout facility. Observed scuff marks on wall of room. #8. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet chair with rusting in room 507. #16 Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). EHS emailed facility a guidance template. #34. All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed no documentation detailing the concentration strength of sanitizer being used within commingled laundry. 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 linen in storage areas on carts stored with cleaning materials and disinfectant wipes. Observed clean linen cart with discarded coffee cup underneath separation barrier. *NOTE: EHS Jordan McClenic lead inspection. Head of Maintenance Ryan Light was present during time of inspection. Report emailed to facility along with back up water supply guidance at: Dlight@liberty-healthcare.com Cflowers@LIBERTY-LTC.COM

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 or locked. REPEAT VIOLATION.
28	1	Adequate storage, area clean, items properly stored	No	No	No	All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed several boxes of single use gloves, patient care items, etc stored directly on the ground in multiple supply closet and storage areas throughout facility. REPEAT VIOLATION.