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

4/24/2019

Final Score @ Grade

General Comments

No points deducted: #32--Observed stains on couch in 1033, debris under couch cushions in MC 1030. 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). #43--Observed missing thermometers for refrigerators in rooms 2010, 2022, and 1010. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).

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	Observed water damaged ceiling in large laundry room (repeat). 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	Observed stained toilet seat in 1006, 2022, and MC1030. Observed cracked shower chair in 1006. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed stained pillow cases, comforters, or sheets in rooms 2010, 2022, 2025, MC 1033. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).