| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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. Repeat-Observed wall scuffs throughout. Ceiling stains and/or moldy in bathroom next to R 112 and closet in living room/kitchenette near room 207. Repair hole in wall behind toilet in bathroom near room 107 |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed tubs need cleaning in MC spa room. Observed several moldy shower curtains, need replacing or laundering. |
|
12
|
3
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Repeat-Observed the majority of hand sinks did not have paper towels available |
|
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 cleaner or disinfectant in common bathing areas. |
|
17
|
1
|
Water fountains clean, good repair, properly regulated |
No |
No
|
No |
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed drinks dumped down drain in water fountains. Even through fountains turned off, they still need to stay clean. |
|
21
|
2
|
Solid waste stored properly, areas clean, facilities for cleaning |
No |
No
|
No |
Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c). Observed dumpster doors open. Sludgy ground near dumpster, lots of trash and larger items that need disposal accumulating around dumpster. |
|
32
|
1
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
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 torn mattress in room 108. Repeat-Observed lots of trash under sofa and chair cushions. |
|
35
|
0.50
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
A room or area shall be provided for cleaning patient contact equipment. 15A NCAC 18A .1319 (c). Observed hopper not working and hand sink and hopper blocked by equipment. Oxygen tanks also stored in this room, clean organize room so sinks aren’t blocked and hopper is working properly. Observed all closet spaces need cleaning and organizing. Do not store patient items under sink plumbing. |
|
40
|
1
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
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). Repeat Observed refrigerator near room 202 with lots of half consumed food, half empty drink, etc |
|
43
|
0.50
|
Food storage units with thermometers, maintain temperatures |
No |
No
|
No |
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in refrigerator room 108. |