Premises Information


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Name

WALTONWOOD AT PROVIDENCE

Address

11945 PROVIDENCE RD

City/State/ZIP

CHARLOTTE

28277

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

4/21/2015

Final Score @ Grade

General Comments

8: Keep soiled utility doors unlocked so that the hand washing sinks are accessible to both staff and residents in the laundry rooms in AL.12: Provide paper towels and soap at the soiled utility room hand washing sinks. 14: Provide an EPA reg hospital disinfectant in the salon for the pedi chair and in the MC spa. 28: Keep single service cups sleeved/protected in the hall bistro area.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	Observed: Hot water at 119F in the AL activity room, 95.5F in the resident laundry room/soiled utility room, 120F in the MC dining room, and 119F in the MC spa.Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).