|
3
|
2
|
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 in need of touch up paint throughout facility. Observed stained ceiling tile in 307. REPEAT VIOLATION |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed only one bed pan with a name, and no date. Observed all other bedpans with no labeling. |
|
14
|
1
|
Disinfectant accessible, properly used |
No |
No
|
No |
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). Through discussion, no housekeeper could properly describe how long to let the disinfectant sit on a surface for disinfecting. Ensure that surfaces are being disinfected. |
|
28
|
0.50
|
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 patient care/contact items stored on floor in 300 hall storage. |
|
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 damaged linen in 216. Observed stained linens in 114. Observed linen with crumbs in 307. REPEAT VIOLATION
Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b). Observed employee move soiled laundry out of bin and place in larger bin with no cover. Discontinue this practice and be sure to either bag linen or cover when transporting to laundry area.
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed one soiled linen tub in soiled linen closet with no label. Observed canvas transport cart for soiled laundry with no label. |
|
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 toileting supplies stored along with clean linen. Observed personal items including handbags and food trays stored in clean linen closets.
NOTE: Observed clean linen carts covered with mesh material that does not protect against contamination when stored on the hallway. |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b). Observed refrigerators in 218 and 204 to be above 45F. Thermometers were reading above 45F as well. CDI: Refrigerators were turned down to become colder. |