|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed debris on the floor in the memory care hall storage room. Clean.
Observed black grout in the 300 hall shower room. Clean.
Observed the vinyl lifting from the floor in room 408's restroom. Repair.
Observed stained carpet in room 201. Clean.
Keep all flooring clean. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed stains on the ceilings in the 200 hall common area, around the vent in the oxygen storage room, and in room 111.
Observed brown stains on the wall in the 300 hall restroom.
Observed the paneling detached from the wall in the activity room restroom.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
2
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Repeat: Observed buildup on shower curtains and/or chairs in 104's restroom and spas. Observed the tubs in both spas in need of cleaning. *Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed the toilet seat peeling in the MC living room restroom-Replace. Observed a loose toilet seat in the restroom behind the desk (by 200 hall). Observed pink buildup in the hopper. Observed stains on the toilet in room 201. *Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Observed buildup in the oxygen room handsink. Clean. *Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed no paper towels at the majority of the handsinks throughout the building. Provide at all sinks at all times.
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). |
|
13
|
2
|
Lavatory and bathing hot water between 100 and 116 F |
No |
No
|
No |
Repeat: Observed water at handsinks ranging from 120F-133F throughout the building except for the memory care hall. Follow the rule below for all sinks.
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). |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed debris under several chair cushions in the common areas.
Observed a hole with a spring protruding from it in room 408. Replace.
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). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
Observed buildup in the microwaves and/or refrigerators in the living room/common areas, and the employee break room (inspected because a resident was observed coming out of the break room). Clean.
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). |
|
40
|
0.50
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Observed a lot of unlabeled, opened, old food in the 200 hall living room refrigerator. All items were removed by Ms. Littman to be discarded. Follow the rule below.
Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). |