| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Repeat-flooring in disrepair in A wing common bathroom, nourishment rooms and soiled utility rooms. |
|
2
|
2
|
Walls and ceilings clean, good repair |
No |
No
|
No |
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Repeat- Observed paint chipping on door jambs. Ceiling water damaged near front desk. Incomplete ceiling and wall repairs throughout. Wallpaper lifting in beauty salon. |
|
3
|
0
|
Ceiling attachments cleanable, clean, good repair |
No |
No
|
No |
.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed air vents and light fixture covers with build-up dead bugs, service hallway. Wing B spa- lighting ballasts look separated from ceiling. Make sure fixture is completely secured to ceiling |
|
7
|
0
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed broken toilet paper holder in room 110 |
|
9
|
0
|
Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected |
No |
No
|
No |
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. NEW RULE |
|
10
|
1.50
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no soap any many dispensers throughout. Beauty salon hand sanitizer dispenser broken. Replace and make hand sanitizer available. |
|
12
|
1.50
|
Bathing facilities properly equipped, equipment cleaned and disinfected |
No |
No
|
No |
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Repeat-Observed shower bed with trash and debris below mattress. |
|
15
|
1
|
No cross-connections observed |
No |
No
|
No |
Observed backflow preventers missing on shower wands in spa rooms (4 of 7) |
|
18
|
0.50
|
Drinking fountains clean, good repair |
No |
No
|
No |
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed A wing water fountain with divergent stream, splattering onto carpet |
|
20
|
1
|
Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair |
No |
No
|
No |
.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. Observed ice machines with build-up on guard.
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed cracked ice scoop |
|
28
|
0
|
No pest presence; effective pest control measures |
No |
No
|
No |
.1317 (a) Openings to the outside of an institution's building or buildings shall be equipped with self-closing doors that are flush with the door frame when closed, closed windows, window screening on windows that can be opened, or controlled air currents to prevent pests from entering the building or buildings. Observed gaps at bottom of doors to dumpster. |
|
32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed frayed mattress in room 110. Torn pillow in room 104. Soiled divider curtain room 104. |
|
33
|
0.50
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed frayed linens provided by institution in room 110. |
|
38
|
0.50
|
Food service equipment and utensils clean, good repair |
No |
No
|
No |
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerators and microwaves in nourishment rooms with spills and splatters |
|
42
|
0
|
Food and food supplies from approved sources; properly stored and handled |
No |
No
|
No |
.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Observed disposable water cups for resident rooms being filled with water from hand sink in nourishment room. Hand sinks cannot be used to provide drinking water (exception-residents can use the hand sink in bathroom to acquire drinking water |
|
51
|
0
|
Proper use of restriction, exclusion, and reporting |
No |
No
|
No |
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULE |
|
52
|
0
|
Vomitus and diarrheal clean up supplies; written clean up procedures available and complete |
No |
No
|
No |
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. NEW RULE |