Premises Information


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Name

ARBOR RIDGE AT HUNTERSVILLE

Address

10200 HAMPTONS PARK DR

City/State/ZIP

CHARLOTTE

28078

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

8/28/2024

Final Score @ Grade

95.50

General Comments

NOTE: Maintenance: Marshall Hinson, Administrator : Melissa Parlier and EHS: Isaac Cathy present inspection.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
1	0	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 flooring underneath the beds, laundry room behind machines, need regular cleaning and keep clean. No point deduction at time.
5	0	Ventilation equipment clean, good repair	No	No	No	.1311 (b) Ventilation equipment shall be kept clean and in good repair.- Observed minor dust cover on ceiling vents and AC filter in some apartments. Cleaning needed and keep clean. No point deduction at time.
7	1	Facilities provided, accessible, clean, good repair	No	No	No	.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 toilet, hand sink, shower floor need cleaning and keep clean (H17, H10, A14, tub room memory care). Observed soiled at the back of shower chairs in several apartment. Detail cleaning needed and keep clean. Observed soiled handrail in tub room memory care needs cleaning.
10	1.50	Handwashing facilities properly located and equipped	No	No	No	.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels at hand sink in H10 and wellness room. Observed no soap available at hand sink in nourishment room memory care. Ensure to provide all hand washing supplies at all hand sinks at all times. .1312 (d) Handwashing facilities shall be located in an institution in accordance with 10A NCAC 13B .5411, 10A NCAC 13D .3201, 10A NCAC 13F .0305, .1304, and 10A NCAC 13K .1109, .1204, as applicable. Institutions that do not have a handwashing facility located in all areas required by this Paragraph shall not be required to install handwashing facilities if the institution has an approved hand hygiene program.- Observed completely blocked hand washing sink in soiled utility room memory care. Remove/clear path for access to hand sink for hand washing at all time.
17	0.50	Back-up water supply plan available and complete	No	No	No	REPEAT .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 the facility with the incomplete back up water supply plan. A plan needs to provide details and procedures of listed item in this violation marking. The facility has an example/guide copy from EHS. The facility started to work on the plan, ensure to use potable/non-potable correctly at the appropriate situation. Point stay the same. -0.5 pts-
24	0	Refuse, recyclables, and returnables properly stored	No	No	No	.1316 (b) Refuse, recyclables, and returnables shall be stored in containers, rooms, or areas designated for the storage of refuse, recyclables, and returnables.- Observed one of the dumpster is missing a plug. Obtain a plug for that dumpster. Keep plug in place and close dumpster doors when not using.
34	1.50	Linens provided by the institution properly cleaned and sanitized	No	No	No	REPEAT .1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following: (1) using a solution of at least 50 parts per million chlorine; or (2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions. - Observed the facility provides and combines all white sheets when washing. The facility washing machines are hooking up with chlorine bleach. According the housekeeper manager, the facility is contacting the laundry service company to obtain the records of a chlorine solution concentration. The facility is working on obtaining the record from the servicer and will keep on file.
38	0	Food service equipment and utensils clean, good repair	No	No	No	REPEAT .1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed soiled oven (the base) in nourishment room in memory care. Need cleaning and keep clean. No point deduction at this time.