Premises Information


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Name

REDWOOD HEALTH & REHABILITATION

Address

5939 REDDMAN RD

City/State/ZIP

CHARLOTTE

28212

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/30/2022

Final Score @ Grade

82.50

General Comments

#7. Smoking rooms shall be ventilated to prevent environmental tobacco smoke from moving into other portions of the building. 15A NCAC 18A .1311 (e). Smoking shall be limited to designated smoking areas. 15A NCAC 18A .1311 (e). Observed residents smoking in designated outside smoking area near therapy room and cigarette smoke drifting back into the facility. HIGHLY RECOMMEND PLACING DESIGNATED SMOKING AREA FURTHER AWAY FROM THE EXIT DOOR! #21. All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Clean grounds around dumpster area. #26. There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Clean leaves from gutters around entire facility. #35. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Replace missing arm rest on wheelchair provided by the facility. #43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Replace missing thermometer in medicine refrigeration unit in med room. Keep rooms and bathrooms clean in unoccupied part of facility. You may call to request a regrade when ready @(980)314-1620

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
1	1	Floors easy to clean, no obstacles, drains where needed	No	No	No	Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Observed flooring damaged in nourishment rooms and storage rooms. Replace missing and damaged floor tiles in nourishment rooms and secure loose carpeting in storage rooms.
2	1	Floors clean, carpet clean, dry, odor free	No	No	No	Keep all flooring clean. 15A NCAC 18A .1309 (a). Thoroughly clean flooring in residents rooms near PTAC( heating and cooling units) and near entrance to residents bathrooms, storage rooms, storage area and closets.
3	2	Walls and ceilings cleanable, clean, good repair	No	No	No	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Repair any and all roof leaks throughout facility (occupied and non occupied side). Repair damaged ceiling throughout in residents rooms, storage rooms, library, etc. Patch holes in walls throughout and repaint (residents rooms, storage rooms, biohazard rooms, bathrooms,etc.
4	1	Lighting at least 10 foot candles 30 inches above floor	No	No	No	All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Replace light bulbs not working in light fixtures throughout or replace damaged light fixtures throughout facility. (residents bathrooms, storage rooms, dining room area, etc. rooms in unoccupied part of building that is also being used for storage.
5	2	Ambient air temperature 65 to 85 F, equipment clean	No	No	No	Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed PTAC units soiled throughout (top of unit, front of units and filters on units.) Thoroughly detail clean PTAC units throughout in all rooms. Replace damaged filters on PTAC units.
8	2	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 shower bed padding, shower chairs, shower curtain, underside of mess on shower bed soiled in common shower. Thoroughly clean and disinfect bathing items. Clean shower curtain regularly and when visibly soiled.
10	0.50	Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected	No	No	No	Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). Observed many disposable bed pans not labeled throughout in shared bathrooms between rooms. During discussion with admin; I was informed that staff dispose of the urine from urinal in the bathroom within the room and then the urinals are rinsed out at the hand washing sink in the bathroom. Do not rinse or clean urinal at hand washing sink in resident room. Rinse and clean urinal at hopper bin/toilet in biohazard room. Recommend labeling disposable urinals, emises basin and disposable pink wash containers in rooms. Observed many disposable urinals, emises basin and wash basin in shared bathroom between rooms. HOW DO YOU KNOW WHICH RESIDENT IS USING THEIR URINAL, EMISES BASIN OR WASH BASIN IN SHARED BATHRROMS BETWEEN ROOMS?
19	2	Ice protected, dispensed, equipment clean in good repair	No	No	No	Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Thoroughly clean interior of both ice machines on 100/200 hall and 300/400 hall nourishment. Observed interior of ice machines soiled. Observed ice scoops stored in soiled container in nourishment room on 200/300 hall.
28	1	Adequate storage, area clean, items properly stored	No	No	No	All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed patient care items stored on the floor in storage rooms. Store patient care items on shelving in storage rooms. Clean and organize all storage areas, spaces, rooms, physical therapy (storage), rooms in unoccupied part of build that is not being used, etc.
30	1	Medication carts clean, sharps containers affixed, food and utensils handled properly	No	No	No	Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Stored cups on med carts to prevent contamination and cross contamination. Stored cups below rim of storage area on side of med cart. Clean base of plastic bags where med cups are stored. Observed debris and pills in base of plastic bag.
32	2	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 damaged mattresses and pillows throughout in rooms. Observed damaged and soiled dresser in resident rooms. Observed side railing area on beds throughout facility soiled. Replace damaged furniture and fixtures and thoroughly clean cracks and crevices of bed framing throughout in rooms. Replace damaged tray on walker used in physical therapy room. Thoroughly clean lower blue padding on walker tray in physical therapy room.
34	2	Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately	No	No	No	Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed linen bin not covered/protected on the hallway area. Observed clean linen uncovered in shared storage room. Observed no record of the amount of chlorine provided during the wash cycle. Please provide records from laundry vendor.