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

7/6/2023

Final Score @ Grade

General Comments

*NOTE: Inspection lead and typed by, Anglecia Askew

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
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 rusted floors in laundry room area. Observed broken tiles near fire exit door. REPEAT EHS advises facility to replace broken/cracked tile as needed within facility.
2	1	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. Observed stained ceilings and ceilings in need of repair throughout facility. Observed paint touch ups needed in room 137 and in bathroom in room 105. REPEAT
17	1	Back-up water supply plan available and complete	No	No	No	.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. REPEAT
23	0	Solid waste containers properly constructed, covered where required; good repair	No	No	No	.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed open door on garbage can and open lid on recycling bin.
26	0	Premises properly maintained	No	No	No	.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed several mattresses stored on outside premises near shed. Per conversation with staff items are scheduled to be picked up.
32	1	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 cabinet in west nourishment room in need of repair. REPEAT
33	1	Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled	No	No	No	.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on linens in rooms 100, 119, 135, 137, and 159. REPEAT
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. Observed facility not able to provide vomit and diarrhea procedures nor clean-up kit.