Premises Information


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Name

CADENCE HUNTERSVILLE

Address

250 COMMERCE CENTER DR

City/State/ZIP

HUNTERSVILLE

28078

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

9/22/2021

Final Score @ Grade

General Comments

General comments: (0 points deducted) Item 3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls in C9 paint peeling and damaged. Observed E wing restroom with peeling paint and some wall damage. Observed B wing spa recaulk handsink. Item 28. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed storage of gowns, masks and patient care items stored on the floor in the exterior storage building. Elevate off the ground to prevent contamination. Item 28. Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed disposable diapers stored under handsink in room C4. Observed ziploc bags stored in resident room D4. Relocate to prevent contamination. Item 33. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed torn mattress cover in room C9. Observed linens stained in room C9. Observed pillow stained in E2. Item 34. 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 stored on the floor in room C9. Elevate off the floor to prevent contamination. Item 40. Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Observed unlabeled resident food in the Memory care refrigerator. Properly labeled with person’s name and the date. Item 42. All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a). Observed apples offered at the front common area not properly protected. Wrap apples or another type of protection to prevent contamination. Item 43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed missing thermometer in cafe refrigerator and in resident room D4. When chemicals are removed from their original container, properly label with common name to prevent misuse. During the inspection Maintenance stated there is work being completed (remediation) to a few rooms in A wing. Josh Jordan accompanied me through this inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
5	1	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 HVAC units in all rooms inspected had dust accumulation on the filters. Clean and maintain.
8	1	Facilities conveniently located, clean and in good repair	No	No	No	Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilets in the following rooms and common toilet rooms visibly soiled: C9, C wing Spa, B wing restroom, E wing restroom. Observed the B wing spa toilet lid cracked. Replace. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed handsink in room F6 has low water pressure. Repair.
13	1	Lavatory and bathing hot water between 100 and 116 F	No	No	No	Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed hot water in memory care at 96-99F. Adjust the hot water temperature and provide between 100-116F.
14	1	Disinfectant accessible, properly used	No	No	No	A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed (SPA's) not having disinfectant accessible during inspection. Spa tubs had a built in disinfectant, but Maintenance was unable to access. Obtain key so that facility can ensure disinfectant is provided. -REPEAT-
16	1	Quantitiy and hot water sufficient, backup water supply plan	No	No	No	The facility shall maintain an adequate supply of hot water to food preparation areas, and to any other areas where water is required in sufficient quantities to carry out all operations. 15A NCAC 18A .1313 (e). Facility unable to provide back up water supply. Maintenance able to provide who will be supplying water however missing information on relocating residents, and alternative source for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily wastes.
32	1	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 debris under Memory care furniture cushions. Observed chairs in room C4 and some staining of chairs in the hallway common chairs.