Premises Information


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Name

AUTUMN CARE OF CORNELIUS

Address

19530 MT ZION PY

City/State/ZIP

CORNELIUS

28031

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

9/13/2018

Final Score @ Grade

95.50

General Comments

NO POINTS DEDUCTED #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 mattress with torn surface in resident room #803, and mattress with stain in resident room #601. (improvement observed) #33 Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed mattress pad stained in resident room #601 in need of changing.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	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 resident rooms and bathrooms damaged, scuffed and in need of painting throughout.
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 toilet chairs soiled and/or rusty in resident rooms #708, #706, and #502.
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	Toilet rooms shall not be used for storage. See rule .1312 (b). Observed toilet room having bulk patient contact items stored in basin of shower in therapy/gym.
11	1	Hand sinks used only for intended purpose	No	No	No	REPEAT Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed hand sink in laundry room blocked with misc storage in basin. (points not increased due to improvement and different rule number).
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 clean linen stored in room with numerous 5 gallon containers of chemicals; observed clean linen stored in clean linen room with patient contact items.