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Mecklenburg County Health Dept
Public Health Inspections
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Premises Information

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NamePAVILION HEALTH CENTER AT BRIGHTMORE
Address10011 PROVIDENCE RD W
 
City/State/ZIP
CHARLOTTE NC 28277
Premise Type40 - Rest/Nursing Homes
CountyMecklenburg
Inspection Date 12/3/2015
Final Score @ Grade
94.50
General Comments***GC #1: Observed trash on floor in several storage rooms. Provide trash cans in rooms or take trash to trash can. **Keep floors clean.Provide documentation that laundry in being disinfected at a minimum of 50 ppm chlorine.

Violations

 
CDI=Corrected During Inspection  R=Repeat Violation  VR=Verification Required 
Violation Item Demerits Violation Description CDIRVRComments
8 1 Facilities conveniently located, clean and in good repair No No No Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed a few soiled toilet chairs throughout the facility. Soiled shower bed in spa room. Soiled toilet in spa. Hopper with ring in bowl-put onto regularly cleaning schedule.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
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 the bedpans are being cleaned in the residents rooms and the resident rooms do not have spray arms on their toilets. Advised that they should be using the soiled utility room with the hopper.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed that the reusable bedpans are not being labeled properly with the name and date.
14 1 Disinfectant accessible, properly used No No No REPEAT VIOLATION: Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f). Observed that the housekeeping is unaware of 'contact time' and what that means. Explained what contact time is during the inspection and advised that contact time should be explained to all staff members.
19 1 Ice protected, dispensed, equipment clean in good repair No No No Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed residue built up inside of the ice machine in the nourishment room.All ice machines and storage chests which are accessible to the residents and the public shall be automatic ice dispensing machines. 15A NCAC 18A .1313 (b). Observed that an employee was bringing a cart of ice around to the rooms in a chest like cooler full of ice and the employee left the ice chest unattended when going into patient rooms. Advised that it should be more protected and to use an automatic dispenser.
28 0.50 Adequate storage, area clean, items properly stored No No No Observed boxes stored on floor in storage rooms. Keep storage a minimum of 8 inches above the floor.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
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 linen carts not covered in rooms containing non-linens. Soiled pillow case thrown in clean linen closet.