99.5/ 100
PINES AT DAVIDSON, THE
400 AVINGER LN, Davidson, NC 28036
Rest/Nursing Homes · NC permit/State ID 2060400021
Latest result99.5 / 100
Last inspectedJun 23, 2026
Inspections on record24
On record sinceDec 6, 2013
Score history
Dec 6, 2013Higher is betterJun 23, 2026
Inspections & violations
Jun 23, 2026 99.5 / 100 · 4 violations
#2 · Walls and ceilings clean, good repair
.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 tile in janitor closet in Maulden. Check for leaks, repair/replace the ceiling.
#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 no hand washing signs posted in staff restroom in Wilson right across room 679. Post hand washing sign in all restrooms.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels in the dispenser in soiled utility room in health care. Ensure to provide all hand washing supplies at all hand sinks at all times.
#42 · Food and food supplies from approved sources; properly stored and handled
.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 individual apple sauce on medication cart that not keeping cold as required as TCS food. Ensure to store food items safe as instructed on food label at anytime.
Oct 1, 2025 100 / 100 · 0 violations
Inspector comments: NOTE:
- No violation observed at the time of inspection
- Administrative team was present during walkthrough.
No violations were recorded for this inspection.
Jun 30, 2025 98.5 / 100 · 5 violations
Inspector comments: NOTE:
- The administrator team present during inspection
#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 linen closet floor need cleaning and keep clean in health care and memory care.
#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 disrepair faucet (sign posted) in the kitchenette counter in AL. Repair needed.
#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 the facility is changing and editing the written water back up supply plan due to change and added supplies. Please ensure to have a complete written plan available upon request and use correct term of potable or non potable water for the correct purposes.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair −1
.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean.- Observed ice cooler sitting in the hallway of AL. Ensure to keep ice cooler in the lock kitchen where is protected.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −0.5
.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 resident food in the refrigerator activity room in AL without name and date. Ensure to label individual items with name and date received. Keep up to 7 days then discard.
Dec 16, 2024 99.5 / 100 · 1 violation
#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 chipping/fraying chairs in dining rooms throughout facility. PIC stated they are in the process of getting new chairs.
Apr 11, 2024 98 / 100 · 3 violations
Inspector comments: NOTE:
The healthcare team and other team members are present during the inspection and walkthrough.
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be used only for handwashing and shall not be used for disposal of bodily fluids or washing items that are not clean. - Observed ice packs stored inside hand sink basin, preventing a sink from being available for hand washing. Ensure to keep hand sink available for hand washing purposes only.
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no soap available due to disrepair soap dispenser (battery) in utility room in new healthcare. Ensure to provide all hand washing supplies at all hand sinks at all time.
.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 several hand washing sinks was blocked by carts, wheelchairs or objects, made it inaccessible for hand washing in the soiled linen/ laundry room new healthcare, and AL laundry room. Ensure to provide/keep access to all hand washing at all time in all areas.
#18 · Drinking fountains clean, good repair −0.5
.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountain in memory care, need details cleaning around crevices, spouts and surfaces. Keep clean.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
General Comment:
.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.- In healthcare, observed stained on sofa chair in room 197, need cleaning and keep clean. Observed damaged hospital pillow in room 197 and 687, need replacement. Observed damaged arm rest of wheelchairs stored in soiled linen room new healthcare, need repair or replace. Ensure to keep all furnishing items in the building clean and in good repair.
Sep 7, 2023 97 / 100 · 8 violations
Inspector comments: NOTE:
Observed hand washing sink in the oxygen room AL was block by a wheelchair, hand sink in laundry room AL was blocked by iron board, therapy cushion seats inside the hand sink in healthcare storage room. Ensure to provide access for hand washing to all hand sinks at all time.
#7 · Facilities provided, accessible, clean, good repair −1
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 in room 666, damaged (peeling paint) toilet seat in room 273, damaged (holes on the bottom side caused from screw handles) toilet seat in room 295. Soiled on the bottom side of shower chair in room 295. Toilet in room 185 and spa in memory care start to chip away where the seat come down in contact with. Observed slow drain in hand sink in healthcare spa. Need repair/replace where appropriate. -1 pts-
#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 two fabric chairs store in memory care spa waiting to be clean. Chairs was taken out and placed in an appropriate storage at the time of inspection.
.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 hand washing signs posted in restroom where employees have access to in skill nursing. EHS provided hand washing signs at the time of inspection. -0.5 pts-
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel in AL oxygen room, healthcare storage room, and skill nursing storage room. Paper towel was provided at time of of inspection. Observed no soap and paper towel in the salon hand sink. Ensure to provide all hand washing supplies at all hand sink at all time. -0 pts-
#17 · Back-up water supply plan available and complete −0.5
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 incomplete back up water supply plan, details of how the plan will be implemented in the event of lost water for more than 4 consecutive hours needed. EHS emailed administrators a BACKUP WATER SUPPLY PLAN CHECKLIST. The facility will be working on getting details plan in place. -0.5 pts-
#18 · Drinking fountains clean, good repair
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed water fountain in healthcare needs cleaning and keep clean even when it is not in service. -0 pts-
#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 damaged pillows in room 105 in memory care, 667 in skill nursing. Replace the hospital pillow as needed when it is damaged.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled bed linen and pillow case in room 653. Change bed linens when visibly soiled. -0.5 pts-
#38 · Food service equipment and utensils clean, good repair −0.5
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerator and microwave in skill nursing, refrigerator in memory care in need of detail cleaning. -0.5 pts-
Apr 21, 2023 98 / 100 · 7 violations
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust on the ceiling vent in bathroom 73. AL. Need cleaning and keep clean.
#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 chipped paint on a toilet adapter in AL room 73. Need repair or replace for smooth/easily cleanable surface. Keep clean and in good repair.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towel at a hand washing sink at skill nursing in supply room. ENSURE ALL HAND WASHING SUPPLIES (SOAP AND PAPER TOWELS) ARE AVAILABLE AT ALL TIME.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used −2
.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 a bathroom disinfectant bottle on top of a kitchen counter next to hand sink in skill nursing unit. Ensure to use a proper cleaning solution where is appropriate in accordance to the manufactures instructions. Observed cleaning cart with cleaning/disinfecting bottles with fade-out labeling, hard to see the cleaning instructions. Ensure to provide a new legible labeling one the bottles and provide training for all cleaning staff how to use chemicals in accordance with the manufacturer's instructions for an effective cleaning.
#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 the facility back up water supply plan without details of how the plan will be implemented in the event of lost water for more than 4 consecutive hours. EHS emailed staff a BACKUP WATER SUPPLY PLAN CHECKLIST. The facility will be working on getting details plan in place.
#51 · Proper use of restriction, exclusion, and reporting
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULES. No Point Deduction. CDI- Employee Health Policy poster provided at the time of inspection.
#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. NEW RULES. No Point Deduction. CDI- Vomiting and Diarrheal clean up poster provided at the the time of inspection.
Nov 14, 2022 99 / 100 · 2 violations
Inspector comments: NO POINTS DEDUCTED
#3
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water stain on ceiling in storage room on Malden Hall.
#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 Wilson hall bathing room used to store wheel chairs and tables. Observed Brown hall bathing room being used to store chair with absorbent cushions.
#28 · Adequate storage, area clean, items properly stored −0.5
Patient care or consumable items and equipment shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed patient contact items being stored below sink pipelines in Wilson hall.
Jun 14, 2022 98 / 100 · 2 violations
Inspector comments: #14
NO POINTS DEDUCTED
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no EPA disinfectant accessible inside SPA of memory unit; CDI EPA disinfectant provided during inspection.
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed carpet in many hallways of neighborhoods / communities having stains and areas in need of general cleaning; Observed stained carpet inside resident rooms (#155, #192) in need of cleaning.
#3 · Walls and ceilings cleanable, clean, good repair −1
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall scuffed beside bed inside resident room (#184) in memory unit. Observed water damaged ceiling tile inside laundry room of memory unit in need of repair.
(Points kept at half due to improvement)
Nov 9, 2021 98 / 100 · 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling tiles in staff breakroom and breakroom bathroom ceiling having heavy water damage in need of repair; Observed bathroom (staff / visitors) within (Purcell) having water damaged ceiling tile in need of repair. Observed walls scuffed inside staff breakroom in need of repair.
#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 clean linen stored inside (purcell) spa on cart co-mingled with gloves and chemical spray. CDI items properly stored during inspection.
Feb 8, 2021 96 / 100 · 5 violations
Inspector comments: Note: Post grade card where license is posted. Should not be posted in the office
Add soap and paper towel dispensers in beauty salon in new building.
Make sure staff does not bring in unapproved sanitizers or disinfectants. They must be registered with the EPA and labeled use for hospital or nursing home.
NO POINTS
#29-Mop receptors or sinks shall be provided and used for the cleaning of mops and the disposal of mop water. Other plumbing fixtures shall not be used for these purpose. 15A NCAC 18A .1318 (b). Observed damaged FRP needs replacing in 2nd floor mop closet
#34-All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed cleaning rags laundered on site. No bleach dispensers hooked to washers. Bleach stored in a locked cabinet in laundry room. Make bleach more accessible or have a laundry sanitizer available.
#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). Gerry chair in spa room needed cleaning of debris. Shower floor with pink mold around non-slip strips, room 299.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed some sinks need better cleaning around fixtures. Check in cabinets below hand sinks for signs of leaking or mold growth, dirty utility room. Observed side splash needs recaulking in room 273
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed several toilets with dried urine on underside of toilet seat.
#28 · Adequate storage, area clean, items properly stored −0.5
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed storage below hand sink in soiled utility room.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed debris and a loose pill in 2 diferent med carts cup storage. Replace plastic bags more frequently.
#36 · Approved utensils and equipment, cleaned and sanitized −1
All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619. Observed ice chests for ice dispersal to rooms needing to be run through dishwasher.
#43 · Food storage units with thermometers, maintain temperatures −0.5
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed refrigerators in new healthcare building do not have thermometers in them.
Dec 7, 2020 98 / 100 · 2 violations
Inspector comments: NO POINTS DEDUCTED
#13 Provided hot water at hand washing sinks within resident / patient rooms at 100-116F; Observed end rooms on each hallway measuring between 92-94F (all other rooms were measured at 103-108F).
#8 · Facilities conveniently located, clean and in good repair −1
Handwashing facilities shall be provided and accessible in kitchens, food preparation areas, sterile supply processing areas, medication rooms, laundry areas, and soiled utility rooms. 15A NCAC 18A .1312 (d). Observed hand washing sink blocked by wheelchair inside equipment storage rooms; Obsevred hand washing sink blocked by misc boxes inside resident supply room.
#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 designated area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linen rooms having chemicals and toiletry items stored within same space.
Sep 25, 2019 96 / 100 · 4 violations
Inspector comments: NO POINTS:
#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 some stained common furniture.
#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 damaged surface on shower lift in central bathing. Loose non-slip in shower, room 190. Leak at hand sink fixture, soiled utility room, 2nd floor.
Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Handsink and paper towels not accessible in soiled closet, 1st floor. Shower tiles need cleaning, grout is discolored.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed debris in a med cart drawer. Pills and other debris in baggies holding drinking and pill cups. Stethoscope laid over sharps container.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed a couple soiled linen carts not labeled. Need labeling
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 linen on bed in room 291 and 190.
#36 · Approved utensils and equipment, cleaned and sanitized −1
All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. 15A NCAC 18A .1320 (c). Observed cracked shelving in both nourishment room refrigerators. Clean/replace any microwaves with interior rust
Jun 11, 2019 96 / 100 · 4 violations
Inspector comments: 5) Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed vent fan in 195 bathroom to be dusty. Observed heating ballast/cover loose on one side in room 292.
19) Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed some build up on back of ice chute in AL kitchenette.
27) Retain veterinary records for pets, including therapy animals. 15A NCAC 18A .1317 (f). Observed rabies records for two therapy dogs expired within 30 days ago. Ensure updated records are received before animals return to facility.
28) All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed briefs stored on floor in room 285.
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 equipment storage room in need of organizing. REPEAT VIOALTION Improvement from previous inspection.
30) Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed drawers of med cart in AL with some debris accumulation.
NOTE: Observed facility is using H2Orange product only, in single resident bathrooms. This product is not approved as a disinfectant. EHS strongly recommends using disinfectant on all bathing and toileting surfaces to reduce the risk of spreading bacteria and viruses including but not limited to norovirus and shigella.
NOTE: Observed pimento cheese, egg salad, and chicken salad in containers from the main kitchen in kitchenettes that are date marked for 8 days. Ensure product is properly date marked for 7 days, per food code, when leaving the kitchen. Products were within 7 day date mark during inspection today.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed baseboards in AL in hallways and dining room in need of touch up paint. Observed baseboard in room 180 in need of painting. Observed wall damaged in memory care spa at entrance to shower. Observed paint peeling on bathroom door in room 195. Observed floor in healthcare dining closets with debris accumulation. REPEAT VIOLATION Some improvement from previous inspection }
#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 grout in shower of memory care spa with black build up. Observed shower chair in memory care spa with rust and pink build up underneath and on legs. Observed Chipped shower in room 285. Observed pink build up on bottom of shower curtain in room 285.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed hoppers in soiled linen room in AL and in eyewash room in need of cleaning.
#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 worn finish on end table in room 271. Observed mattress in room 285 with body fluid on it that went through the sheet. Observed stained pillow in room 198. Observed cushion in AL dining with stain. Observed stained couch in living room of AL and debris under the couch as well. Observed chair on 90's hall by housekeeping closet with stains.
#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 stained sheets in room 285 on bed. Observed stained top sheet in room 278 on bed. Observed sheets with debris in room 164 on bed.
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed unlabeled carts in healthcare soiled utility room. CDI: Carts labeled.
Nov 26, 2018 98 / 100 · 2 violations
Inspector comments: NO POINTS DEDUCTED
#28
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 small laundry room (1st floor) having storage of clean linen / patient contact items / wheel chairs all co-mingled in one room.
#33
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained pillow case in resident room.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling tile in janitorial closet damaged in need of replacing on 2nd floor; Observed wall in SPA on 1st floor damaged in need of repair; Observed walls scuffed in dining room on first floor in need of touch-up painting.
#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 toilet room on 2nd floor nearest elevator heavily soiled in need of cleaning (conducted during inspection).
Mar 9, 2018 97.5 / 100 · 3 violations
Inspector comments: 3) Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling in Purcell dining with water damage near AC vent. Observed minor touch up paint needed in janitorial storage rooms and laundry rooms throughout facility. REPEAT VIOLATION Previous inspection violations corrected.
8) Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed curtain in Purcell bathing with yellow buildup from disinfectant cleaner. Ensure all chemical is wiped off of surfaces. Observed toilet seat with fecal build up in room 279. CDI: Janitorial staff alerted to clean room.
27) Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f). Observed records that all animals are registered with "Therapy Dogs International" (TDI) but no physical records of shot dates present on site. Gather and provide rabies shot records for all animals visiting facility.
#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 heavy accumulation of crumbs in bottom dresser drawer of 163. Observed stained pillow in room 163. Observed torn pillows in rooms 291 and 180. CDI: Pillows replaced.
#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 minor staining on pillowcase in 279, top sheet in 279, mattress cover in 291, and spot on fitted sheet in 291. Observed torn pillowcase in room 292. REPEAT VIOLATION
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed 4 packages of briefs stored comingled with purple top wipes and other chemicals. CDI: Briefs relocated to clean storage area. Observed odor control chemical leaked in container where personal care soaps and shampoos are stored in Purcell spa. CDI: Soaps discarded and chemical cleaned properly.
Oct 4, 2017 98 / 100 · 2 violations
Inspector comments: Observed empty coffee cup in clean linen closet in medical area.
Observed minor touch up paint needed in 70's hall spa.
#11 · Hand sinks used only for intended purpose −1
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed handsink in upstairs dining area being used for dumping ice and drinks.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed unlabeled bin in downstairs medical unit. Observed bin with no label in memory care hallway.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Room 165 top sheet with colored staining. New top sheet provided. Observed minor tear in silk pillow case in room 158. REPEAT VIOLATION Improvement from last inspection.
Mar 17, 2017 98 / 100 · 2 violations
Inspector comments: No Points:
#15: Observed that back-up water supply plan needs a little more elaboration on how toilets will be flushed. Label transportation buckets/containers as non-potable water.
#21: Observed leak in one dumpster, have dumpster replaced.
#8 · Facilities conveniently located, clean and in good repair −1
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed slow drain in room 170. Hoppers with rings in basins. Brown water coming out of tap in room 183. Several cabinets below hand sinks dirty or with moisture damage. Keep areas clean and dry so it's easy to tell if there is a plumbing leak or pest problems.
#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 pillows with tears, replace when damaged. Soiled lambskin cover on chair in clean storage.
Jun 27, 2016 99 / 100 · 1 violation
Inspector comments: Judy Green (Nursing) was present during the inspection. The following resident rooms were inspected: 105, 158, 166, 168, 197, 271, 288, and 299.
NO POINT DEDUCTION:
2. Observed the closet floor in the Brown Dining room, and the carpet was stained in room 197. **Keep all flooring clean. 15A NCAC 18A .1309 (a).
4. Observed light bulbs needed replacing in the 1st floor spa room, and the memory care clean linen closet. **Repair lights
16. Observed the back-up water supply plan was not complete; missing quantity of water per resident per day, and how resident clothing would be washed. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
33. Observed one resident room with stained bed sheet. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
40. Observed a container of pimento cheese brought by visitor was not dated in the activity room refrigerator. ** 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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed ceiling and wall damage in some rooms: 299, 288, memory care spa, and 168.
Observed the wall needed cleaning near bed in room 197.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Oct 23, 2015 96 / 100 · 4 violations
Inspector comments: 2. Observed debris collecting on floor in several storage closets.Keep all flooring clean. 15A NCAC 18A .1309 (a).11. Observed ice and debris dumped in hand sink in nourishment room in assisted living.Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d).21. Observed trash collecting around dumpster area.Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c).39. Observed egg salad made on site with an 8 day discard date in health care and memory care.All food and food supplies provided by an institution shall be from sources that comply with 15A NCAC 18A. 2600.
#8 · Facilities conveniently located, clean and in good repair −1
Repast non-compliance: Observed residue collecting on shower wand hose in 284, and 2x4 on floor of shower to prevent water from spilling, caulk damaged. Observed one toilet not properly seated in health care resident room.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Improvement from previous inspection
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed ice machine collecting residue in chute in memory care.Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Repeat non-compliance: Observed one sheet stained in memory care. Observed soiled linen containers in soiled utility rooms not labeled.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). Improvement from previous inspection.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Repeat non-compliance: Observed mesh clean linen storage cart stored in laundry room in memory care. Observed mesh linen storage cart in spa in health care. 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). A solid barrier must be present on the linen cart.
Jun 10, 2015 98 / 100 · 2 violations
Inspector comments: 3. Observeed wall damged in linen closet in memory care, door knob through wall.Keep all walls in good repair.5. Observed one vent dusty in oxygen storage room in the health care area.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).14. Caregiver did not know the contact time for the disinfectant used for cleaning shower chairs and bathing equipment.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). EPA contact time for disinfectant in use was 2 minutes.34. Observed mesh clean linen storage cart stored in laundry room in memory care. 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). A solid barrier must be present on the linen cart.40. Observed staff food stored in refrigerator with bottled water for the facility.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).42. Observed bowls in refrigerator with assorted butter spreads, one container real butter and requiring refrigeration. Butter is a potentially hazardous food and must be kept on time or temperature control at all times.All perishable foods shall be stored at temperatures which will protect against spoilage. See rule .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)
#8 · Facilities conveniently located, clean and in good repair −1
Observed casters for shower chairs collecting hair in health care. Obseved shower chair collecting residue on track for catch basin. Observed toilet seat soiled in one assisted living room restroom. Observed damage toilet seat in health care 163.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 one set of sheets with tear, one set with debris, one with stain in rooms throghout faclity.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Dec 5, 2014 97 / 100 · 2 violations
Inspector comments: 15. Observed no backflow preventer in room 273.Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).17. Observed pink residue collecting on mouth guard for water fountain in assisted living hall.Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).28. Observed clean incontence supplies with packages open stored in soiled utility room in assisted living unit.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).32. Observed decorateve pillow soiled in 191. Observed gray spot on top of chair in 191. Observed couch in common area in assistled living collecting food debris.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).Mr. Muller present during inspection.
#8 · Facilities conveniently located, clean and in good repair −1
Repeat non-compliance: Observed residue collecting on shower chair in memory care. Observed caulk damaged in room 154 and in 182 backslpash. Observed shower head collecting residue in meempory care spa.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Improvement from previous inspection.
#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
Observed food not discarded in refrigerator with discared date of 12/4/14.Observed vacutube specimine in medication refrigerator stored over wine bottle.All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).
Feb 7, 2014 97.5 / 100 · 3 violations
Inspector comments: 6. Observed small area of mold on wall under cabinet of soiled utility room on 100 hall near Purcell wing. Wall area was under cabinet were bed pan sanitizer was previously.Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). 15. Observed no backflow prevention on hose bib in garden area.Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).32. Observed 2 damaged vinyl pillows on 100 hall.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).28. Observed linens stored closer than 8 inches to the floor in 100 linen closet. Observed mouth swabs stored closer than 8 inches to the floor in the storage closet near Purcell wing.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).42. Nursing director stated that ice in placed in a trash bag in a cooler and dispensed. Bag was not food grade.All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).Ice must be put in a food grade bag and cooler must be kept clean. If no bag is to be used the cooler must be washed rinsed and sanitized after each use.Ice must be dispensed at a frequency so that water does not collect in the cooler.Mr. Muller received inspection.
#8 · Facilities conveniently located, clean and in good repair −1
Observed shower chairs in 270 and 296 with pink buildup. Observed shower wand track in Purcell spa loose. Observed shower hand rail paint damaged in spa on 100 hall. Observed casters collecting debris around wheels in spas on 100 halls. Improvement from last inspection.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed single service cups stored on med cart uncovered. in 100 hall. Observed single service cups stored uncovered in Purcell nourishment room.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 sheets stained in Purcell wing resident room near custodial closet. Observed debris collecting on sheets in 198. Observed damaged bed pad in one resident room. Observed one towel not covered in soiled laundry in soiled utility closet on first floor.Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 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).
Dec 6, 2013 97 / 100 · 2 violations
Inspector comments: 1. Observed hard debris on spa floor in spa near 165. Floors in intensive care units, bathrooms, showers, hydrotherapy areas, operating rooms, soiled utility rooms and laundry areas shall be of smooth, non-absorbent materials and so constructed as to be easy to clean. 15A NCAC 18A .1309 (a). 2.Observed residue on floor drain in Skilled Nursing nourishment room.Keep all flooring clean. 15A NCAC 18A .1309 (a).28. Observed gauss stored within 8 inches of floor in Skilled Nursing storage roomAll patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).34. Observed linen bed pads on floor in storage closet in Skilled Nursing.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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed damaged to baseboard throughout Skilled area. Observed wall damage 184 and 191. Observed damaged tiles in spa at shower area in spa near 192.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat non compliance: Observed shower chairs in skilled spay near 192 collecting hair in caster, residue on under sections, and one with damaged side guard. Observed sink in spa restroom near 192 with damaged caulk along side of sink and wall. Observed curtain in Purcell spa collecting residue. Observed mildew collecting on anti-slip mat in room 287.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 hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “PINES AT DAVIDSON, THE” or State ID 2060400021). Inspection type (routine vs. follow-up) is not published in the county's data.