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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| | Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|---|
|
1
|
1
|
Floors and carpets cleanable, clean, good repair; carpet odor free |
No |
No
|
No |
REPEAT
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 dust and debris on floor behind washer/dryer machines in laundry room floor. Observed debris, dusts on flooring underneath the bed, where is hard to reach and corners throughout the facility (316, 201, 211). Detail floor and wall cleaning needed and keep clean. Observed damaged floor in room 211, repair/replace needed. |
|
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 loose toilet seat, needs repair in 312. Stained wall around hand sink, stained toilet, need better cleaning in 211. Two disrepair shower head and damaged toilet seat in Spa restroom (Asheville), repair or replace needed. Observed soiled hand washing sink throughout the facility, need detail cleaning and keep clean. Hand sink in staff restroom (Wilmington Hall way) start to separate from the wall, need repair or new caulking. Points remain the same at this time. |
|
16
|
1.50
|
Hot water between 105°F and 116°F |
No |
No
|
No |
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.- Observed water temperature throughout the building (Asheville, Charlotte, Wilmington) measured 119F- 122F. The facility mentioned that they had an issue with water heater and had a replacement recently. Ensure to provide Tempered water between 105F and 116F. |
|
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 an incomplete water backup supply written plan. The facility will work on and obtain a complete written plan and have available when needed. |
|
28
|
0
|
No pest presence; effective pest control measures |
No |
No
|
No |
.1317 (a) Pests shall not be present in an institution's building or buildings.- Observed spiders and spider webs along wall and floor throughout rooms especially in 211. Detail cleaning needed and Keep free from pests. |
|
30
|
0
|
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 throughout the facility, single use cups face down and store directly on the top medicine cart surface without any protection to prevent contamination. Store all clean items in the manner to keep clean and prevent any possible contamination at all time. |
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32
|
0.50
|
Furnishings clean and in good repair; mattresses dry, clean, good repair |
No |
No
|
No |
REPEAT
.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 debris under sofas/couches, dust in/on surfaces inside the cabinets in the common areas. Need details cleaning and keep clean. Point remains the same at this time. |
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