|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed debris underneath the bed in room A33. Needs to be cleaned.
**Keep all flooring clean. 15A NCAC 18A .1309 (a). |
|
3
|
2
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed the ceiling peeling in the bathroom within room A14. Observed wall near the toilet with paint chipping and staining in the bathroom within room A12. Observed the baseboard missing and wall damage in the 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 paint chipping on the floor of the shower in room B44. Observed shower curtain with build up in room B44.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed toilet with build up on base in room B44. Observed loose toilet seat in room B16. Observed build up on bedside toilet in room A12.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed disposable urinal with blue substance inside in room A28, also labeled C50.
**All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). |
|
28
|
1
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Observed closet in need of cleaning in room A33.
**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). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed torn pillows in rooms A38, A33 and A12. Observed mattresses torn in rooms A14 and A12. Observed box spring cover torn in room A28.
**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). |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed sheets with black splotches which is a sign of bed bugs in room A38.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |