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Mecklenburg County Health Dept
Public Health Inspections
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Premises Information

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NameTHE HAVEN IN THE VILLAGE AT CAROLINA PLACE
Address13150 DORMAN RD
 
City/State/ZIP
PINEVILLE NC 28134
Premise Type40 - Rest/Nursing Homes
CountyMecklenburg
Inspection Date 5/13/2021
Final Score @ Grade
94
General CommentsNo points were deducted for the following: 16: Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). Provide complete backup water supply plan, template emailed to Renee Walburn. 32: 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 stained cushion on chair in the TV room in the Wilmington neighborhood. Inspection was conducted by Sam Cary.

Violations

 
CDI=Corrected During Inspection  R=Repeat Violation  VR=Verification Required 
Violation Item Demerits Violation Description CDIRVRComments
3 2 Walls and ceilings cleanable, clean, good repair No No No Repeat: Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall damage in Asheville neighborhood room 202 behind recliner. Wall damage in room 413 in Wilmington neighborhood. Observed dirty ceiling tiles and dust buildup on ceiling vents in middle common seating area in the Asheville neighborhood and dust buildup on the wall in the laundry room.
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 rusted toilet seat risers in room 207 and room 211. Observed the base of the toilet loose in room 215. Loose toilet seats in room 413 and both spa rooms in the Wilmington hall and the Asheville hall.
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 temperatures at 120F+ in the Asheville spa room, hall restroom, Wilmington spa room and rooms 401 and 413 in the Wilmington neighborhood.
33 2 Linen changed when soiled. Soiled linen handled properly No No No Repeat: Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observe stained pillow, pillow case and sheets in room 202 in Asheville neighborhood. Observed stained pillows in rooms 401 and 407 in the Wilmington neighborhood.