98/ 100
BROOKDALE CARRIAGE CLUB PROVIDENCE
5804 OLD PROVIDENCE RD, Charlotte, NC 28226
Rest/Nursing Homes · NC permit/State ID 2060400009
Latest result98 / 100
Last inspectedAug 20, 2026
Inspections on record26
On record sinceOct 9, 2013
Score history
Oct 9, 2013Higher is betterAug 20, 2026
Inspections & violations
Aug 20, 2026 98 / 100 · 3 violations
#2 · Walls and ceilings clean, good repair −2
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling in 218 and 1st floor hall. Observed damage to wall in clean linen room. REPEAT.
#7 · Facilities provided, accessible, clean, good repair
.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 in need of cleaning in beauty salon. Observed chipped toilet seat in 214.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.
Observed no handwashing sign in downstairs womens bathroom. Needs handwashing sign.
Feb 4, 2026 98.5 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed walls scuffed throughout in need repair.
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed large amounts of unnecessary storage items (wheel chairs, walkers, misc storage) inside spa and shower rooms.
Aug 21, 2025 98 / 100 · 6 violations
Inspector comments: Facility had a water leak on the first floor and is finishing up repairs. First floor is not being used by residents at this time according to staff.
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
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 crack on floor in bathroom of 215. Needs repair. -General comment.
#7 · Facilities provided, accessible, clean, good repair −1
.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 seat peeling in 242. Observed shower floor in need of cleaning in 237 (spa room) and in room 241. REPEAT.
#17 · Back-up water supply plan available and complete −0.5
.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 no laundry, bathing, or toileting procedures in back up water supply plan. EHS emailed a plan template. REPEAT.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair
.1314 (c) Ice machines and storage chests accessible to residents, guests, or the public shall provide ice through automatic ice dispensing equipment and shall not permit ice to be accessed using a scoop or bucket. Observed ice cooler with scoop in hall accessible to all. Needs to be inaccessible/monitored or dispensed through automatic dispensing equipment.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.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 damaged bed frames in 224 and 215. Observed vanity peeling in 242 and 224. Observed towel bar broken in 242. Needs repair.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed some food for individual residents not labeled in activity room refrigerator. Staff stated some of the food was brought in this morning. Needs name and date labels. -General Comment
Mar 7, 2025 98.5 / 100 · 4 violations
Inspector comments: NOTE- Administrator, Stephanie Clontz, was present during time of inspection. Report emailed to the following-
SteClo@brookdale.com
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable vents in rooms 217 and 230. REPEAT VIOLATION.
#7 · Facilities provided, accessible, clean, good repair
.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 cleaning needed to shower floor in shared spa room. General comment.
#17 · Back-up water supply plan available and complete
.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 incomplete back up water supply plan. EHS emailed facility template for creating back up water supply plan that is in accordance with notated rule. ~General comment.
#28 · No pest presence; effective pest control measures −0.5
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed crawling bug in shared spa room. Per conversation with administrator, facilities pest control company has been actively treating for pest.
Aug 22, 2024 98 / 100 · 4 violations
Inspector comments: *NOTE: EHS Olivia Young lead inspection and typed report.
DON was present during time of inspection, Danika Huggins and Health care administrator Vakesia Berrios
Report emailed to the following:
Vberrios@brookdale.com
E000819316@brookdale.com
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed visible stains on the ceilings of Room 222 and 216, with the ceiling peeling in Room 216. PIC stated there was a leak in those rooms that has been repaired. A work order has been submitted to have issue repaired.
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. -Observed visible buildup of dust and debris on PTAC filters in Rooms 218, 241, and the Spa room. REPEAT VIOLATION.
#7 · Facilities provided, accessible, clean, good repair
.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 handsinks draining slow in rooms 234 and 241.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
.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 large tears in blue vinyl pillow in 241 room, DON replaced pillow during time of inspection.
Feb 28, 2024 98.5 / 100 · 2 violations
Inspector comments: *NOTE: Director of Nursing, Danika Huggins, was present during time of inspection. Report emailed to:
Vberrios@brookdale.com
E000819316@brookdale.com
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation in AC vents in rooms 224, 237, and 239. Repeat violation.
#17 · Back-up water supply plan available and complete −0.5
.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. Facility was unable to locate back up water supply plan during time of inspection. Previous inspection report stated that back up water supply plan was incomplete. Repeat violation.
Sep 27, 2023 99 / 100 · 6 violations
Inspector comments: *NOTE: EHS, Jeremy Stawinsky co-lead inspection.
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable filters attached to ventilation systems in multiple residents rooms with heavy dust accumulation.
#7 · Facilities provided, accessible, clean, good repair
.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 1 toilet lid peeling in room 242.
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed handwash sign missing in employees restroom.
#17 · Back-up water supply plan available and complete
.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 incomplete back up water supply plan. EHS emailed facility template.
#23 · Solid waste containers properly constructed, covered where required; good repair
.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 minor debris/litter surrounding dumpster area.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no written procedure for notated rule, EHS emailed facility required written procedure.
Apr 17, 2023 98.5 / 100 · 2 violations
Inspector comments: NOTE: There was a flood in the building. Currently being repaired (walls, floors, etc). Flood contained and repaired.
#5 · Ventilation equipment clean, good repair
Observed dust on filters in rooms 217 and 229.
.1311 (b) Ventilation equipment shall be kept clean and in good repair.
#16 · Hot water between 105°F and 116°F −1.5
Observed no hot water in room 229. Must have hot water between 105-116F.
.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.
Nov 9, 2022 98 / 100 · 1 violation
Inspector comments: No points deducted: #3- Observed stained ceiling tile in clean linen room.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
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 separation curtain in room 243. Observed plastic mattress protector with debris build up. Keep clean. Observed ripped and stained wicker chair cushion in room 217. REPEAT VIOLATION.
May 18, 2022 97.5 / 100 · 3 violations
Inspector comments: No points deducted: #9–Keep handwashing signs posted in all staff restrooms. 15A NCAC 18A .1312 (b). Observed no hand washing sign at common restrooms or in beauty salon restroom #34– Observed lint buildup behind laundry dryers.
#3 · Walls and ceilings cleanable, clean, good repair −1
Walls shall be easily cleanable and shall have washable surfaces to the highest level reached by splash or spray in rooms or areas where such occur. 15A NCAC 18A .1310.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Observed walls with scuffs in hallways, openings at water line under multiple toilets open to studs, observed bare drywall in custodial closet and clean linen closet, no paint on areas with bare drywall where previous paper towel or soap dispensers use to hang. Observed broken tile in bathroom downstairs open to the bare drywall. Wholes, and scuffs through the facility.
#28 · Adequate storage, area clean, items properly stored −0.5
Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
Observed styrofoam cups stored under sink. Observed boxes of paper towels stored directly on floor. Observed housekeeping items in boxes stored on floor, decubitus care pad box stored on floor next to employee lockers, personal care items, disposable underwear/pads, stored directly on floor in residents rooms; in staff shower, latex surgical bloggers stored in cardboard box directly on floor. PIC was informed that all items need to be 8 inches off floor for ease of cleaning. Observed newly shipped boxes including straws directly stored on floor. Use of inverted milk crates or soda crates is acceptable.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
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).
Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a).
Observed mattress with peeling water proofing, pillows cracked, torn, stained. Observed couch in residents room with large tears and stains. Observed pillows with stains.
Oct 25, 2021 97 / 100 · 3 violations
Inspector comments: Observed drastic improvements from last inspection (April).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed water stained ceiling tiles in clean linen room and in hall near salon.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −1
Observed counter space around hand sink needing repairs in room 223.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Observed build up in bins containing hair rollers in hair salon. Repeat.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Apr 22, 2021 91.5 / 100 · 8 violations
Inspector comments: NO POINTS-
#2- Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed flooring in storage areas with debris behind bins/boxes. Keep floor accessible or move bins for routine cleaning.
#3- Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed stained ceiling tiles in several areas. Most looked dry. Facility has new roof as of 12/20. Walls needed wiping down in med room.
#12- Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no soap in activities kitchen. No paper towels at one dispenser in beauty salon.
#17-Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed scale build-up in nozzle of water fountain near front door.
#21- All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Observed door to compactor open. Keep ground around compactor clean.
#36- Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed soiled microwave in PT and soiled freezer in activities kitchen.
#8 · Facilities conveniently located, clean and in good repair −1
Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Observed blocked hand sink in biohazard room. Keep hand sink accessible.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed spa tub with splash at bottom, keep clean even if not used. Observed loose non-slip appliques in shower, room 221. Observed cracked and soiled shower chair, room 232. Soiled shower chair, room 229.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed rusted toilet chair, room 221.
#19 · Ice protected, dispensed, equipment clean in good repair −1
Ice machines, buckets, other containers, and scoops shall be protected from the elements, splash, drip, dust, vermin, other contamination, and from use by unauthorized personnel. 15A NCAC 18A .1314 (b). Observed ice dispensing unit unattended in activities room near door.
#28 · Adequate storage, area clean, items properly stored −0.5
Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed storage on floor in med room. Patient supplies must be 8 inches above floor.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
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 stains on common furniture, keep clean. Headboard in disrepair, room 229.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled bedding on beds in rooms 232, 229,
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed several soiled linen carts not labeled.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed non linens stored with linens in clean linen room and laundry room.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Repeat-Observed rollers and roller bins in beauty salon soiled.
#42 · Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control −2
Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a) Observed partially eaten pizza on counter in activities room, presumably from last night. Dispose of food left out of temp control within 2 hours.
Dec 9, 2020 96.5 / 100 · 3 violations
Inspector comments: NOTE: Did not escalate points for #3 due to improvement. Covid 19 restrictions, no signature required.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed black rub marks on wall in restroom in 222.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
Observed stains on separation curtain in room 222. Observed damaged footboard on bed in room 221. Observed damaged pillows in storage closet in 221.
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).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair on rollers in salon. Please ensure all hair care items are cleaned between clients.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Mar 3, 2020 93 / 100 · 6 violations
Inspector comments: #4: 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). Replace flickering light bulbs in soiled linen closet
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water stained ceiling tile on hall B and in room 240 resident's toilet. Replace stained ceiling tile. Observed debris on wall in activity room/kitchen. Clean and wipe down wall.
#8 · Facilities conveniently located, clean and in good repair −1
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed bathroom tissue holder broken in main toilet. Observed soiled toilet seat in rooms 240, 230, & 218. Observed loose toilet seat in room 218. Repair or replace.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower in rooms 230 & 224 in need of cleaning. Clean shower.
#26 · Premises clean, no breeding places or rodent harborage −1
There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c).
Observed roach crawling on the wall in room 240's toilet.
Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment
and to prevent their breeding or presence on the premises.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
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 ripped/torn pillow in rooms 233, 240 (both beds), and 230. Observed soiled/stained privacy curtain in rooms 240 & 224. Replace with clean curtains and replace all ripped pillows. Remove pillow off the floor in room 233's closet. PIC removed off floor.
#33 · Linen changed when soiled. Soiled linen handled properly −2
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Observed soiled/stained blanket on resident's bed in room 233, soiled/dirty linen on resident's bed (B) in room 240. Relpace with clean linen.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Soiled patient contact items shall be taken to a designated area for cleaning and shall be stored separately from clean items. 15A NCAC 18A .1319 (c). Observed resident's clothing on the floor in closet in room 230. Observed resident's diaper on the floor in closet in room 233. Observed resident's bed pad on the floor in linen closet. PIC removed off floor.
Observed soiled pillow case on resident's bed in rooms 230 & 218. Replace all dirty pillow cases and linen with clean linen.
Oct 30, 2019 95 / 100 · 6 violations
Inspector comments: NO POINTS:
#3: Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed some wet ceiling tiles on 1st floor. Have leak or roof repaired and replace ceiling tile.
#15: Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed shower wands do not have backflow preventers. Provide documentation that there are internal backflow/check valves or need external backflow prevention installed.
#30: Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed cups stacked above edge of baggie. One drawer had a spill.
#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 beauty salon sinks, cabinets need cleaning
#43: All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in refrigerator in room 230?
#8 · Facilities conveniently located, clean and in good repair −1
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed lifting of non-slip strips in showers and leftover residue from non-slip strips. Loose or sticky areas need cleaning or repair. Shower drains with build-up, several bathrooms.
Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Observed blocked hand sink in biohazard room.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed unlabeled bedpan in room 216
All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). Observed bedpan with dried urine in it. Staff said they wash them in the showers. Bedpans and other soiled equipment must go to the soiled utility room from cleaning and disinfection
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed interior and exterior drain soiled on ice cart. Kitchen needs to throughly clean it each day. Run through dishmachine if possible
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled bed linens in room 230. Observed torn and soiled pillows and pillow protectors, several rooms
#36 · Approved utensils and equipment, cleaned and sanitized −1
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed refrigerators need cleaning in med room and activities kitchen.
#40 · Food brought by employees or visitors handled properly −0.5
Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b). Observed unlabeled personal food in activities refrigerator.
May 17, 2019 98 / 100 · 1 violation
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#3 - Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Observed stained ceiling tile by storage room on 1st floor, as well as a hole in the wall of therapy storage room.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Repeat.
Observed pink buildup under shower seat in room 234, as well as pink buildup on showerhead in room 217.
Oct 25, 2018 97 / 100 · 2 violations
Inspector comments: No points deducted: #1--Reseal baseboard to wall beside dresser in room 231. #5--Observed dust ac filters on room 230.
#8 · Facilities conveniently located, clean and in good repair −2
Observed stains on showerhead in room 230. Observed stains around drain in shower in room 230.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stains on bed rail in room 230.
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).
Jun 15, 2018 97 / 100 · 3 violations
Inspector comments: ***Note*** Hallway on 2nd floor salon in process of being repaired. Facility had a sewage leak. Leak was repaired and facility hired a company to do repairs. Salon is not being utilized until floors, walls, and ceilings are complete.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage in biohazard room.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −1
Observed hopper and sink soiled in biohazard room. Observed disposable toilet pan stained in room 232A. Observed toilet seat peeling and stains in shower in room 222.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stain on folded sheet in room 231.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Jul 10, 2017 95.5 / 100 · 4 violations
Inspector comments: No points deducted: #8-- Observed tub needing to be cleaned in spa room. Room is unused. Observed showerhead needing to be cleaned in room 214.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −2
Observed debris in cup holder on med cart. Observed water cups unprotected on med cart. Med cart unattended at time. Repeat.
Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stains on chairs in room 232 and stain on sliding separation curtain in 214.
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).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained sheets in room 216 and pillow stains in room 232. Observed torn top cover in room 216, torn/ripped pillows in rooms 214 and 230.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed debris and torn armrests on wheelchairs in rehab, also on wheelchairs stored in hallway near rehab. Observed stain on wheelchair in spa (unused) room. Observed hair on rollers in salon.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Jan 13, 2017 95 / 100 · 5 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed ceiling damage in room 217.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −1
Observed toilet soiled in Biohazard closet. Observed unused spa tub need to be cleaned. Observed rusted toilet chair in room 231.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed debris in cup holder with cups on med carts. Cups must be protected on med carts.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stains on chairs in rooms 239 and 231.
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).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed torn pillow in room 239, stained pillow on chair in room 231, and stain on comforter in room 217.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Mar 30, 2016 93.5 / 100 · 5 violations
Inspector comments: Escorted by Michelle Cookhorne and Andrea Walcott.
No points deducted: #15 Backflow prevention devices needed on shower heads. 15A NCAC 18A.1313(d) states that cross connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage in soiled linen closet. Observed missing and water damaged ceiling tiles in downstairs hall and storage closet. Repair or replace.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#6 · No evidence of microbial growth −1.5
Clean HVAC vent in 215 restroom and where needed.
Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d).
#8 · Facilities conveniently located, clean and in good repair −2
Observed stained/soiled portable toilets in rooms 215 and 236. Observed shower head in 236 needing to be cleaned (pink). Observed unused tub in spa room needing to be cleaned.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed bed side dresser needing repair inside drawers in room 236. Observed blinds falling in room 215. Repair or replace.
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).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled sheets, pillows, and pillowcase in rooms 215 and 216.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Dec 2, 2015 92.5 / 100 · 7 violations
Inspector comments: 2. Carpet shall be maintained clean, odor free, dry and in good repair. 15A NCAC 18A .1309 (a) Observed pink stain on the carpet in the common room area. 3. The walls and ceilings of all rooms and areas shall be kept clean and in good repair 15A NCAC 18A .1310. Observed stains on the ceiling tiles in the common room/lobby and DON's office34 Observed several linen cart covers in disrepair in laundry room. Observed dirty shoes stored on shelf in clean linen area. Keep cart covers down when non-linen items are stored in same room.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of cleanlinen. 15A NCAC 18A .1319 (b)Kyle Keller led inspection.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed the shower drain in room 229 broken off of the drain. Observed the non slip tape in the shower in room 220 and in room 233 peeling away, thus making the shower not easily cleanable. Advised to re-tape with new non slip tape.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed soiled toilet seats: in room 220, soiled toilet seat in the common room, and in room 233.Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Observed that the handsink in the biohazard room was not accessible.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Toilet rooms shall not be used for storage. See rule .1312 (b). Observed the soiled utility room being used as the biohazrad storage room. Corrected during inspection: made clear that the biohazard storage will be used in another room and that room will be used only for cleaning soiled urinals and bedpans.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed bedpan in room 233 that has gone through a cleaning procedure and was labeled incorrectly without a date. Make sure that staff cleans all bedpans and urinals in the soiled utility area. Cannot be rinsed/washed using sink or shower.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no soap in room 233 bathroom, and no soap in the bathroom at the Spa area.
#13 · Lavatory and bathing hot water between 100 and 116 F −1
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 the water temperature in the rehab room with a water temperature of 120 F. Also observed the Salon hot water above 116F.
#28 · Adequate storage, area clean, items properly stored −1
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed patient contact items on the floor in room 220.
Jun 11, 2015 94 / 100 · 4 violations
Inspector comments: #2 Observed 1 room (235) with carpet fray. Carpet shall be kept in good repair. Per Mr. Cam Cecil room is scheduled for upcoming reno.#3 Observed slight wall damage with residue present in room 243. Walls shall be kept clean and in good repair. #19 Observed ice chest stored in activity room unattended. Ice that is in reach of residents shall only be dispensed from machine. #32 Observed stained curtain dividers in rooms 243, 235 and 232. Keep all furniture items clean and in good repair.#36 Observed activity room fridge with residue present on bottom shelving and inside door in need of cleaning. Mr. Cam Cecil was present during the inspection.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat Non Compliance: Observed leak at girls hand sink downstairs with corroded faucets in same restroom. Observed slow drain sink in room 232. Observed underside of shower bench with residue present in room 235. **Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#28 · Adequate storage, area clean, items properly stored −1
Repeat Non Compliance: Observed diaper stored on closet floor in room 243, 232.**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −2
Repeat Non Compliance: Observed soiled linen cart in activities kitchen not labeled.Observed hole in linen in room 243.**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Repeat Non Compliance: Observed all purpose cleaner being used to disinfect items down stairs in physical therapy room. Provide proper disinfectant. **Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
Oct 30, 2014 94.5 / 100 · 7 violations
#8 · Facilities conveniently located, clean and in good repair −1
Observed faucet handles corroded in lower level common bathrooms. Non-slip appliques loose/lifted in showers. Leak at hand sink, med room. Hole in shower wand hose, room 233. Handsink blocked by isolation cart in biohazard room.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)**Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no soap in activities kitchen, several residents eating breakfast with multiple employees assisting.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed diaper stored on closet floor in room 233. Boxes stored on floor in central supply.**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen cart in activities kitchen not labeled.**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed isolation cart stored in biohazard room. Clean items cannot be stored in a room used to store/clean dirty items.**Soiled patient contact items shall be taken to a designated area for cleaning and shall be stored separately from clean items. 15A NCAC 18A .1319 (c).
#40 · Food brought by employees or visitors handled properly −0.5
Observed employee lunch/snack stored in med fridge in med room, no labeling.Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply or medications 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).
#44 · Food stored above floor −0.5
Observed food stored on floor in central supply.**Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in such a manner as to be protected from splash or other contamination. 15A NCAC 18A .1323 (c).
Apr 28, 2014 91.5 / 100 · 8 violations
Inspector comments: Mr. Cam Cecil, ED and Ms. Michelle Cookhorne present during inspection.**Do not rinse urinals with water from hand sink or shower. Rinse/clean in soiled utility hopper or utility sink.GC #9: Observed no handwash signs in 1st floor bathrooms.**Keep handwashing signs posted in all staff restrooms. 15A NCAC 18A .1312 (b).GC #3: Observed some moldy ceiling tiles. Replace.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Observed floor damage in bathroom, room 218. Carpeting loose near desk, room 218.**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#8 · Facilities conveniently located, clean and in good repair −1
Observed toilet riser soiled. Corroded faucet fixtures in 1st floor common bathrooms.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed scoop handle down in ice. Keep scoop handle out of ice.**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).
#28 · Adequate storage, area clean, items properly stored −1
Repeat Non-Compliance: Observed boxes stored on floor, 1st floor storage. Observed digital thermometer stored on sharps container on med cart.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed torn mattress and frayed fall mat, room 243. Torn aeromat, PT.**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).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen cart not labeled as such in activity kitchen/dining.**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2
Repeat Non-Compliance: Observed several linen cart covers in disrepair in laundry room. Personal drink and personal mouth wash stored on shelf with clean linens. Fan dusty in laundry area.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed pillows and pillow cases with holes. PT mattress/mat not being properly disinfected between users. Use approved disinfectant.**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Oct 9, 2013 95 / 100 · 6 violations
Inspector comments: Mr. Cam Cecil present during inspection.**Supply record of ppm available chlorine for washing machines.GC # 42: Health shakes in container without temperature control. Shakes still in temperature and returned to refrigerator.**All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a).**Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)GC # 21. Keep compactor doors closed.GC # 32: Replace fall mat, room 228.GC #8: Repair faucet drips in common bathrooms on 1st floor.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed isolation carts stored in biohazard/bath room.**Toilet rooms shall not be used for storage. See rule .1312 (b).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed hot water in PT room at 120F.**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).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed boxes stored on floor in records room, 1st floor.**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen carts not labeled in common/activity room. Clean linen cart not labeled in laundry.Observed torn bedspread room 224.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Repeat Non-Compliance Observed several cart covers in disrepair in clean linen room and laundry.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Repeat Non-Compliance: Observed loose/peeling non-slip stickers in showers in rooms 228, 234, 224.**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “BROOKDALE CARRIAGE CLUB PROVIDENCE” or State ID 2060400009). Inspection type (routine vs. follow-up) is not published in the county's data.