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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|---|
|
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. Observed damaged floor tiles in laundry room and custodial closet 200 hall. Observed storage stored on floor with surrounding floor dirty. Keep storage off floor for easy cleaning. Carpeting to upstairs storage stained, needs cleaning. |
|
7
|
2
|
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 bathrooms in resident rooms soiled, need more frequently cleaning/touching up. Observed hand sinks in locked areas soiled, need cleaning. Plumbing leak in staff bathroom, right side. Lifting non-slip strips in shower, room 204. |
|
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-labeling of bedpans, emetics basins, urinals |
|
15
|
1
|
No cross-connections observed |
No |
No
|
No |
Observed no backflow preventers on shower wands in spa room and room 212. |
|
29
|
0
|
Pesticides registered and approved for institutional use, properly handled |
No |
No
|
No |
.1317 (b) Only pesticides that are registered in accordance with 40 C.F.R. 152 and G.S. 143-442 shall be used to control pests. Pesticides shall be used, handled, and stored in accordance with the instructions on the manufacturer's label. Observed mislabeled spray bottles on housekeeping carts. |
|
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 of holes. Observed torn pillows in room 105.
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed cover on bed soiled, room 105. |
|
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-An employee health policy for all staff is required. Use same policy paperwork as kitchen is using. |
|
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- A vomiting and diarrhea clean up plan and kit is required. The kit must contain above referenced materials. |
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