| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
5
|
0.50
|
Ventilation equipment clean, good repair |
No |
No
|
No |
REPEAT
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed AC filter need cleaning and keep clean regularly in room 216, 104, 107, 112. |
|
7
|
1
|
Facilities provided, accessible, clean, good repair |
No |
No
|
No |
REPEAT
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed soiled toilets, soiled top/bottom of toilet chairs, shower chairs need cleaning and keep clean in room 307-308, 311, 216, 322. Point remain the same. |
|
8
|
1
|
Toilet rooms free of storage, handwash signs posted |
No |
No
|
No |
REPEAT
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed non related bath items (roller standing desk, pads, pillows, etc..) stored in spa rooms. Remove all non related bath items from bathing area. Only store bath related items. |
|
10
|
0
|
Handwashing facilities properly located and equipped |
No |
No
|
No |
REPEAT
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel at a hand sink in salon room. Ensure to provide all hand washing supplies at all hand sink at all time. No point at this time deducted at this time. |
|
11
|
1
|
EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used |
No |
No
|
No |
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed house keeping cart with bottle of chemicals without labeling. Ensure to label all chemical bottles. Observed housekeeper not knowing how to use cleaning/disinfecting solution properly according to the manufacturer’s instructions. Ensure to educate all cleaning staff/staff how to use cleaning chemicals effectively according to manufacturer’s instructions. |
|
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 dumpsters doors left opened when not in use. Keep all doors and lids close to prevent pest harboring. |
|
30
|
1
|
Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled |
No |
No
|
No |
.1318 (a) Food, utensils, medications, and equipment used on medication carts shall be kept clean. Observed water pitcher in medication cart dated 7/24/23 (a day old). Ensure to send pitchers of water into the kitchen to get clean properly every 4 hours as water get change per staff every 4 hours. |
|
33
|
0.50
|
Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled |
No |
No
|
No |
REPEAT
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled linens on residents bed in room 127, 325, 104. Need change and get clean when visibly soiled. |
|
42
|
0
|
Food and food supplies from approved sources; properly stored and handled |
No |
No
|
No |
.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Observed box of single use cups stored on the floor in storage room in 100 hall. Keep items off the floor at least 6 inches above. |