Premises Information


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Name

SHERWOOD HEALTH & REHAB

Address

4801 RANDOLPH RD

City/State/ZIP

CHARLOTTE

28211

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

11/24/2021

Final Score @ Grade

General Comments

#1 Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed cracked floor tile in laundry room between washing machines. Observed minor cracked floor tile in near toilet in room 119. Repair or replace floor tiles. #3 Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed minor scuffed walls throughout facility. Repaint walls as needed. #5 Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed unclean A/C filters in rooms 119 and 155. #8 Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. Keep clean and in good repair. 15A NCAC 18A .1312 (a). Repair leaking drain pipe at west hallway soiled utility room hand sink. #14 The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f). Observed disinfectant not being used according to the manufacturers instructions. According to the housekeeping supervisor, housekeeping hand mixes disinfectant using 2 tablets of BruTabs in 1 quart spray bottle. Manufacturers instruction say to use 4 tablets per 1 quart. Follow manufactures instructions when mixing disinfectant. Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. 15A NCAC 18A .1312 (f). Observed no test kit for measuring disinfectant. Supply test kit. #28 All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed disposable gloves, patient diapers and other items in boxes stored on floor in storage room in east hallway. Keep patient consumables or care items 8 inches off the floor. #35 Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed cracked wheelchair arms in room 119 and in physical therapy room. Observed soiled knee lift in shower room in west hallway. Clean patient contact items between patients. Repair or replace wheelchair arms.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 water temperature between 118F-128F in rooms 119, 133, 144, 145, 155 and bathrooms in hallway near administration offices.
19	1	Ice protected, dispensed, equipment clean in good repair	No	No	No	Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed several ice chest stored in hall way unattended. Store ice chest in secured area or keep locked when unattended.