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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 4/29/2019
Final Score @ Grade
95
General CommentsNO POINTS TAKEN #4. All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Observed burnt out light build in the bathroom of room 318. #8 Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed loose tiolet seats in two bathrooms within the facility. #13. 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 hot water temping at 118F in room 414 and temping at 118F in room 318. #32. 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 sofa seats in lounging areas. Observed stain on sofa in room 412. Observed stains on curtain in room 207. Led by Alexis Welch EHS # 2806

Violations

 
CDI=Corrected During Inspection  R=Repeat Violation  VR=Verification Required 
Violation Item Demerits Violation Description CDIRVRComments
14 1 Disinfectant accessible, properly used No No No A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no EPA registered hospital cleaner and disinfectant in any spa bathing area within the facility.
18 1 Drinking utensils properly handled No No No Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Observed several water pitchers without patient's first name and last name through facility. Particularly on halls 300 and 400 within facility.
30 1 Medication carts clean, sharps containers affixed, food and utensils handled properly No No No Observed unused cups on medication carts throughout facility uncovered. Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
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 stains on linen in rooms 103, 114, 304, and 412. Observed holes in pillow at rehabilation center.
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 a cart of clean linen being stored in mop sink area within the laundry room. 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 laundry maintenance records showing that a minimum of 50 ppm chlorine or washed in 160F for 25 minutes