|
5
|
1
|
Ambient air temperature 65 to 85 F, equipment clean |
No |
No
|
No |
Observed ac filters dusty in various rooms on all wings.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed stained toilet or toilet seat in 303 and 308. Observed sink corrosion on hand sink in room 403. Observed stained showerhead in 203 restroom. Observed toilet used and unflushed in memory care activities.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
16
|
1
|
Quantitiy and hot water sufficient, backup water supply plan |
No |
No
|
No |
Facility must provide/locate back up water supply plan. Example plan emailed.
Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). |
|
28
|
1
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed patient care items stored on floor in general storage rooms.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed stained comforter, sheets, or pillow cases in room 402. Observed torn sheet in room 403.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Observed soiled cloth in shower of spa room of memory care. Observed soiled cloth hanging in shower of shared bathroom near 208.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). |