Premises Information


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Name

LEGACY HEIGHTS SENIOR LIVING COMMUNITY

Address

11230 BALLANTYNE TRACE CT

City/State/ZIP

CHARLOTTE

28277

Premise Type

40 - Rest/Nursing Homes

County

Mecklenburg

Inspection Date

5/16/2022

Final Score @ Grade

94.50

General Comments

#1. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Tightly secure loose flooring around floor drain in laundry room area in memory care building. Replace missing transitional floor molding in memory care building at entrance to residents room from hallway area. #21. Solid waste containers, rooms, or designated areas shall be kept clean and in good repair. 15A NCAC 18A .1316 (c). Replace cardboard dumpster located at both buildings. Observed base of card board dumpsters damaged. #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). Touch-up furniture with a furniture marker in common sitting area. Monitor base of legs to dining room tables in memory care building and replace if needed. #40. Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Observed several containers of food products not labeled with employees or residents name and date food was brought into facility. Ensure residents or employee food is labeled with their name and the date the food was brought into establishment.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
3	1	Walls and ceilings cleanable, clean, good repair	No	No	No	Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Clean walls throughout where needed if needed. Patch holes in walls and repaint. Repair walls in laundry room area and storage room area and repaint. Tightly secure base boards in bathrooms. Tightly secure loose electrical outlet covers to walls. Repair ceiling in laundry room and bathroom area. Repair ceiling in foyer areas.
4	1	Lighting at least 10 foot candles 30 inches above floor	No	No	No	All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Repair light fixtures in bathtub/shower area in residents rooms. Observed 1.38 FCU. Replace blown light bulbs or repair light fixtures in shower/bathtub area.
5	1	Ambient air temperature 65 to 85 F, equipment clean	No	No	No	Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). General cleaning of PTAC units within residents rooms. Thoroughly clean ceiling ventilation covers in storage rooms, bathrooms and laundry room. Thoroughly clean ceiling ventilation in common bath/shower in memory care building. Have ventilation checked to ensure it is properly working. Observed microbial growth on ceiling around ventilation and ventilation itself.
9	0.50	Toilet rooms free of storage, hand wash signs posted	No	No	No	Toilet rooms shall not be used for storage. See rule .1312 (b). No storage in the bathrooms. Remove any and all storage from bathrooms.
28	1	Adequate storage, area clean, items properly stored	No	No	No	All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed patient care items stored on the floor in nurse/med room in memory care building. No storage on the floor. Store patient care items on shelving and off the floor.
43	1	Food storage units with thermometers, maintain temperatures	No	No	No	All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Replacing missing thermometer in refrigeration unit in both building in residents room and med rooms.