98.5/ 100
OAKBRIDGE TERRACE AT MATTHEWS GLEN
701 PAVILION VIEW DR, Matthews, NC 28105
Rest/Nursing Homes · NC permit/State ID 2060400032
Latest result98.5 / 100
Last inspectedJun 15, 2026
Inspections on record23
On record sinceAug 26, 2013
Score history
Aug 26, 2013Higher is betterJun 15, 2026
Inspections & violations
Jun 15, 2026 98.5 / 100 · 1 violation
#16 · Hot water between 105°F and 116°F −1.5
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.
Observed hot water at 120F in rooms 118 and 128. Observed hot water at 118F in rooms 112, 109, 129, and 221. Needs to be 105-116F.
Dec 3, 2025 100 / 100 · 1 violation
#2 · Walls and ceilings clean, good repair
General Comment:
.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 minor stain to ceiling tile in 128 and several small stains to ceiling tiles in the second floor training room. Staff checked tiles and began replacing them during the inspection.
Jun 20, 2025 99 / 100 · 2 violations
Inspector comments: Administrator, Susan Byrne, was present during time of inspection:
Susan.byrne@actslife.org
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation to removable AC vent in room 142.
#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 brown/pink build up to bottom of shower curtains in rooms118 and 137. Clean/replace.
Dec 6, 2024 100 / 100 · 1 violation
Inspector comments: *NOTE: Clinical Manager, David Palmer and Brittany Jordan, Clinical Med Tech, were present during time of inspection. Report emailed to the following:
David.palmer@actslife.org
Susan.byrne@actslife.org
#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 minor carpet staining in room 142. -General comment.
Apr 26, 2024 100 / 100 · 2 violations
Inspector comments: *NOTE: Remodel of second floor has been completed. EHS inspected second floor during time of visit and updated capacity according to updated license in IMS (was 60, now is 100). Director of Assisted Living, Susan Byrne, was present during time of inspection. Report emailed to the following:
Susan.byrne@actslife.org
#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 build up under toilet seat in room 221. Housekeeper cleaned toilet during time of inspection.
#45 · Hot and cold holding equipment provided; thermometers provided, accurate
.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometer in refrigerator located in serving kitchen on level 1. Thermometer was placed in unit by conclusion of inspection.
Sep 27, 2023 99.5 / 100 · 2 violations
Inspector comments: *NOTE: Inspection led by EHS Jermey Stawinsky
#4 · Lighting at least 10 foot candles, 30 inches above floor −0.5
.1311 (a) The areas interior to an institution's building or buildings shall be equipped with at least 10 foot candles of light at 30 inches above the floor. Observed burned out light bulb in clean linen closet.
#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 pillow in room 110 with minor staining. PIC stated that all pillows and bedding is brought from home for residents.
May 16, 2023 98 / 100 · 5 violations
Inspector comments: Ms. Janet Presson, RN supervisor. Ms. Jennifer Alexander, administrator. Ms. Melissa Foster and Ms. Kim, environmental services. Mr. Dan Brie, Director of physical plan services are present during the inspection.
NOTE: All staff restrooms has a sign printed to remind staff to wash their hands. At the time of inspection, EHS provided hands washing signs instructions to be posted at all hand washing sinks in the facility. The facility can also have their own signs of how to wash hands.
#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 very soiled hand sink and toilet in room 118, observed dirty toilet in room 142, and dirty toilet seat in room 110. Cleaning needed more often when soiled. Per cleaning facilitator, cleaning provide once a week.
#40 · Handwash lavatory provided and properly equipped −1
.1320 (c) Any area where food is portioned, served, or handled shall be equipped with a handwashing facility with a hot and cold mixing faucet, soap, and single-use towels or a hand-drying device. Observed no paper towels available at the hand washing sink in dishwasher room near Lavender lane. ENSURE TO PROVIDE ALL HAND WASHING SUPPLIES AT ALL HAND SINK AT ALL TIME.
#44 · Time/Temperature Control for Safety (TCS) foods maintained as required
.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food. Observed cut melons mix fruits in a big plastic bucket being portion into small cup at 58F. Staff stated that it was transferred from a big kitchen this morning and just came out from reach in about 5 minutes ago to prep. CDI- Staff put a bucket in the fridge to cool it down fast.
#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 RULE. No point deduction. Provide to Employees Health Policy poster. Inform administrators to educate their staff and adhere to it.
#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 RULE. No point deduction. Provide the vomiting and diarrhea poster and inform the facility to obtain a kit for such an event.
Nov 30, 2022 98 / 100 · 2 violations
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATION:
#28. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed several boxes patient care items stored on the floor in medical supply storage room.
*NOTE: Facility is in the process of renovating top floor where residents are currently housed. Residents are expected to be relocated to bottom floor in the coming weeks.
Administrator, Christina Sanders, and building services director, Pedro Gonzalez, were present during time of inspection. Report emailed to:
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed carpet staining throughout facility.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed stained ceiling tile near main entrance door to unit. Observed wall paper peeling on walling throughout facility. Observed touch up paint needed to walling throughout facility.
Jun 28, 2022 97 / 100 · 3 violations
Inspector comments: No points were deducted from the following:
3. Observed some ceiling tiles missing during the inspection. Facility is currently going through a remodel.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
NOTE: Facility is currently only using one of its two floors due to construction. Residents on floor under construction has been relocated to Willowbrooke Court At 7400 Plantation Estates Dr. last inspected on 6/24/22.
#8 · Facilities conveniently located, clean and in good repair −1
Observed staining in interior of toilet chair in room 225. Toilet chair was cleaned during the inspection.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed water temperature reach 129F in room 252 at both handwashing sinks. Ensure that temperature remains within allowable range.
**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).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed build up on the ice chute in the dining room. Needs to be cleaned.
**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).
Jul 13, 2021 95 / 100 · 5 violations
Inspector comments: The following were not assessed points due to the facility's current renovation status. All areas of concern are under
renovation and contractors are working to upgrade, replace and restore rooms 251 - 260. Water interruption from 09:00 to 10:30 and 13:00 due to construction.
Frayed carpet in room 252 Replace molding around base of the wall in small storage room on Rose Arbor hall.
Close gap in concrete on floor in large residents' storage room on Rose Arbor hall.
Repair damage on wall adjacent to housekeeping closet on Rose Arbor hall.
Refinish or replace water damaged counter top on cabinet in common area between the Y entry of Azalea Run hall.
Replace stained carpet on Azalea Run hall.
Replace missing knob on washer in residents' laundry room.
Miriam Burkhart observed and participated with inspection.
#4 · Lighting at least 10 foot candles 30 inches above floor −1
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 bulbs in closet in small storage room on Rose Arbor hall and rooms 222 and 252. Observed no light in both closets and storage room on Rose Arbor hall.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dust buildup in AC vent in room 259 and a blanket of dust buildup in AC vent in room 252 which is currently under renovation.
#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 fecal matter under toilet seat in room 259 and room 222. Clean and disinfect toilet seat. Observed damaged toilet seat in room 248 around the rim of the seat. Replace damaged toilet. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Clean and disinfect showerhead in room 202. Observed buildup on showerhead in room 202.
#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). Temperature of water in room 259 peaked at 130F, maintenance adjusted
temperature to meet compliance, rechecked temperature. Temperature of water in room 252 peaked at 126F, maintenance adjusted temperature, rechecked temperature at 121F, maintenance adjusted temperature to meet
compliance, rechecked temperature.
#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 frayed chair cushion in common area on Azalea Run hall. PIC stated that she will replace with new chairs.
Observed stains on shower curtain in rooms 222; 235 and 248. Remove stained shower curtains and send to laundry to clean and disinfect or replace with clean shower curtains.
Mar 3, 2021 96 / 100 · 4 violations
Inspector comments: NO POINTS
-13 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 Azalea wing laundry room hand sink at 78F. Adjust point of use mixing valve so 100-116F
-15 Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed missing backflow preventers in spa room, 2nd floor and 235
-3 Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall cracking in spa, 2nd floor. chipped paint on doorways throughout 1st floor.
#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 carpeting frayed throughout.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed vents in ceiling and PTAC filters need cleaning, both floors.
#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 damaged toilet seat in room 114.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed a chip in shower floor and peeling paint, room 216.
#25 · Approved pesticides properly stored and handled −1
All pesticides shall be used as directed on the product label. 15A NCAC 18A .1317 (b). Observed unlabeled and mislabeled spray bottles. Make sure all bottles labeled and have the correct label.
Nov 7, 2019 96 / 100 · 4 violations
Inspector comments: Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed sticky floor in vacant spa room. Observed stained carpet in room 230.
Observed housekeeping closet floor drain clogged and filled with slime buildup.
Ambient air temperature 65° to 85° F, equipment clean. Observed A/C vents filled with dust particles in room 124; & 233.
Walls and ceilings cleanable, clean, good repair. Observed damaged wall in room 230. Observed hole in ceiling tile on second floor end of hall.
#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 stained toilet seat in rooms 230; 242; & 256.
#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). Water in room 242 tempted at 122F, adjust to meet compliance.
#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 pillow in therapy room and pillow on the floor in room 233.
#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). Observed adult under garments on the floor in rooms 142; 230; & 233. Observed residents laundry on the floor of the closet in rooms 134 & 129.
May 22, 2019 97 / 100 · 3 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#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 stain in cabinet underneath sink in 1st floor clean utility room.
#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 a stained mattress in room 234 and a stained pillow in room 256.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Observed two holes in ceiling where there used to be an eyewash station in 2nd floor common bathroom. REPEAT.
#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 pink buildup under shower seats of rooms 209, 216, 235, and 256.
#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 one minor stain on bed comforter in room 235. REPEAT.
Nov 27, 2018 98 / 100 · 2 violations
Inspector comments: #3 Keep all walls and ceilings in good repair 15 NCAC 18A .1312. Observed damaged ceiling in the resident storage area. Observed water stained ceilings on the ceiling tiles around the vent in OBT laundry room. REPEAT
#5 Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1311. Observed dust build up on several air vents in resident rooms. A maintenence order has been issued to replace air vent filters on 11/21 and is in progress.
#8 All toilet, handwashing, and bathing facilities shall be kept clean and in good repair. 15 NCAC 18A .1312 (a). Observed a loose toilet seat in room 109. Observed a soiled chair in spa #3.
#16 The back up water supply plan shall include a plan for an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. 15 NCAC 18A .1313 (f).
Observed in the back up water supply that culinary and nursing staff will be provided hand sanitizer for handwashing. These procedures should be changed to use potable for handwashing. There should be more information should be provided on who will deliver the bottled water and the laundry procedures within the four hour time frame.
#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 in assistant living washroom sink and water in spa room #2 reading a temperature of 117F.
#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 a stained sheet in room 140. Observed a soiled comforter in room 228.
Jun 29, 2018 97.5 / 100 · 2 violations
Inspector comments: No points deducted: #3--Observed water stained ceiling tiles around vent in Azalea laundry room. Observed wall damage in restroom in rooms 102 and 137.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#2 · Floors clean, carpet clean, dry, odor free −2
Observed black markings on shower floor in Cedar ridge spa room.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#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). Discontinue storing wheelchairs in restroom in Cedar ridge unit.
Dec 19, 2017 95.5 / 100 · 4 violations
Inspector comments: No points deducted: #19--Observed build up on chute of ice machine in Cedar ridge.
#3-- Observed stained ceiling tile above ac/heat in room 108. Wall damage in restroom in room 116.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed stain on carpet in room 116 and floor in resident storage closet (Azalea) needing to be cleaned.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −2
Observed rust around sink drain in rooms 142 and 116. Observed toilet needing to be cleaned in room 256.
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)
#28 · Adequate storage, area clean, items properly stored −0.5
Observed inflatable hair washing sink stored on floor in bathroom in room 108.
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 small rips in pillows in rooms 116 and 108. Observed stains on sheets and /or pillowcases in rooms 116 and 243.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Jun 29, 2017 94 / 100 · 5 violations
Inspector comments: 5) Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed vent in spa in need of cleaning.
10) Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed no labeling on bed pan in room 131.
35)Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed clean clothes touching floor in clean utility 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 touch up paint needed throughout resident rooms and in storage room near locked unit. Observed wall damage in spa.
#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 shower chairs in spas to have pink build up. Observed mesh backing of shower chair in locked unit in need of replacing.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed build up around faucets in 112 and 115.
#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 damaged pillows in 139, 145, and 131. Observed missing door knob on closet in 115. Observed soiled curtain divider in 112. REPEAT VIOLATION
#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 linen in 139, 145, and 131. Observed torn top sheet in 145.
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled linen carts unlabeled in utility room. REPEAT VIOLATION
#44 · Food stored above floor −1
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). Observed box of single serving cereals stored on floor in locked unit storage room. REPEAT VIOLATION
Jun 28, 2016 93 / 100 · 8 violations
Inspector comments: NO POINTS
#1: Observed frayed carpeting in room 144. **Keep flooring in good repair.
#26: Observed pest droppings in drawer in beauty shop. Table removed. **Keep facility free of pests.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed very moldy ceiling tile in hallway near 108. Stained ceiling in bathroom of room 144.
**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 hoppers not on a regular cleaning schedule in soiled utility closets. Toilet soiled in spa room. Loose toilet seat in common bathroom near tv room. Chipped toilet seat in room 108.
**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).
#14 · Disinfectant accessible, properly used −1
Observed disinfectant located in shower rooms not easily accessible. Keys were having to be hunted for in all locations.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#17 · Water fountains clean, good repair, properly regulated −1
Observed water fountains with water pressure too high and splattering onto wall/floor.
**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed dusty blinds in several rooms. Soiled curtain divider in spa room. Debris/build-up on chair in beauty salon.
**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 pillow cases on pillow in rooms 108, 113. Damaged pillows in clean linen closet. Observed "soiled linen" worn off or illegible on some soiled linen carts.
**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).
#40 · Food brought by employees or visitors handled properly −0.5
Observed unlabeled / undated shrimp and pizza in OBT 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).
#44 · Food stored above floor −0.5
Observed facility food (thickener) stored under hand sink in PT.
**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).
Oct 22, 2015 92.5 / 100 · 7 violations
Inspector comments: General Comment #17: Observed water pressure too high at several water fountians, correct so does not splatter on floor or carpet.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed several stained ceiling tiles throughout facility. Wall stained in PT, 2nd floor. Wall damage in room 233.**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 hand sink not functioning in cedar ridge med room. Sink fixture loose in beauty shop bathroom.**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#9 · Toilet rooms free of storage, hand wash signs posted −1
Repeat: Observed: Storage on non bathing/toileting items stored in restrooms/Spas throughout.**Toilet rooms shall not be used for storage. See rule .1312 (b).
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Repeat: Observed hot water above 116F. Spiked to 124F in a couple areas.**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).
#14 · Disinfectant accessible, properly used −1
Observed No cleaning instructions posted for cleaning/disinfecting tubs with pumps.**The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed torn fall mat, central supply. Torn mattresses in rooms 140 and 124. Sticky arm chair room 124.**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).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed no thermometer in a couple of resident room refrigerators and a broken thermometer in activity room refrigerator.**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
May 18, 2015 92 / 100 · 8 violations
Inspector comments: 1. Observed a throw rug in a few restrooms.**All flooring in shower/toilet rooms shall be non-absorbent.13. -Observed the water in room 253 at 120F.-Observed the water in the 1st floor gym at 98F.**All hot water shall be tempered 100-116F.14. Observed employee without knowledge of how to turn on the spa tub to clean it. Print out the cleaning instructions and post in all spa rooms.The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).26. Observed several flies around the dumpster. Clean under where the debris and residue is collecting.The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c).There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). 34. Observed melted residue on the dryer drum (inside).Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). Katie (administrator), John (maintenance), and Shacana (Director of Nursing) present. Report emailed to sfleming@actslife.org
#3 · Walls and ceilings cleanable, clean, good repair −1
-Repeat Non-Compliance: Observed several water stained ceiling tiles throughout facility (nursing area, halls, storage rooms, room 134 closet,). -Observed wallpaper peeling in the Magnolia Hall.-Observed the cove bases missing in the storage room by the elevator on Rose Arbor hall, the Housekeeping Closet on the ground floor,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 pink buildup on the shower heads in rooms 252, and 239-Observed slow draining sink in room 242. -Observed pink buildup in the handsink in the Med room on the ground floor.-Observed soiled toilet seats in rooms 101, 207, 252, and 225.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)Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#9 · Toilet rooms free of storage, hand wash signs posted −1
Repeat Non-compliance: Observed bedside tables stored in the spa room- 2nd floor.Toilet rooms shall not be used for storage. See rule .1312 (b).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed the mouthpieces of the cups on multiple med carts not protected. Keep covered to prevent contamination.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 torn pillows and mattress in the Therapy Gym on the 2nd floor.-Observed Wine stains/residue in the cabinet in the nurse's area on the 2nd floor.-Observed stains on the chair in 207.-Observed sticky residue on the bedside tables in rooms 134 and 113.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 linen soiled or in disrepair in rooms 239, 101, 113, 242, 239, 207, and 101.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#36 · Approved utensils and equipment, cleaned and sanitized −1
-Observed soiled shelves in the refrigerator in Rose Arbor's Activity Kitchen, and Med room on the ground floor.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).
#43 · Food storage units with thermometers, maintain temperatures −1
Repeat Non-compliance: Observed no thermometer in the refrigerator in Rose Arbor's Activity Kitchen, and rooms 239, 213, 225.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Dec 22, 2014 90 / 100 · 12 violations
Inspector comments: 1: Rugs in resident room restrooms. ** All flooring in shower/toilet rooms shall be non-absorbent. 13: Hot water at 120F at the beginning of the inspection. Corrected during inspection to 110F. ** All hot water shall be tempered 100-116F. 15: No backflow prevention devices on shower wands. **Provide backflow prevention devices on all shower wands. 33: Soiled linen on the bed in room 136. ** All soiled linen shall be changed once visibly soiled. 42: Breakfast or a resident sitting out at room temp in Memory Care at 10:00. Was told that food came from the kitchen at 8:00. **All food shall be consumed or discarded within 2hrs or being removed from temperature control. Katie Spegal (administrator), John Scraptis (maintenance), and Sandra Calhoun (housekeeping) present.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed: Several water damaged ceiling tiles throughout facility (therapy, rm 136, halls, 2nd floor exam room area). Wall damage in a ground floor clean utility room and the restroom of 136.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: No sink provided in the new med room on the ground floor. Shower chairs dirty in the Spas. Worn toilet seat in room 117 and 124. The bedside commode frame rusting in 124. A slow draining sink in ground floor clean utility. Utensils being washed in the therapy room sink. 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) Facilities in operation prior to March 1, 2003 that do not have hand washing lavatories in all areas required shall have an approved hand hygiene program established. 15A NCAC 18A .1312 (d).
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed: Storage on non bathing/toileting items stored in restrooms/Spas throughout.Toilet rooms shall not be used for storage. See rule .1312 (b).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed: No liquid soap in the assisted living resident rooms.Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#14 · Disinfectant accessible, properly used −1
Observed: No disinfectant available on housekeeping carts or in any of the Spas.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#18 · Drinking utensils properly handled −1
Observed: Water pitchers improperly labeled throughout.Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed: Boxes of single service cups in the floor in ground floor clean utility room. A box containing small boxes of cereal on the floor in a ground floor Memory Care closet.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed: Clean linen not covered or protected in a Spa and in a clean linen/clothing closet.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: Resident positioning pads with blood collecting on them in room 105.Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed: A damaged fridge gasket in the ground floor med/nourishment room. Dishes being washed in the Parlor sink.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).All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619.
#40 · Food brought by employees or visitors handled properly −0.5
Observed: Resident food in some refrigerators improperly labeled.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).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed: No thermometer in the fridge in room 246.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Jun 13, 2014 94 / 100 · 6 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage by A/C unit room 141. Missing baseboard in storage room across from vending.**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 a damaged toilet seat in room 206. Soiled toilet chair in room 128. Soiled shower curtain in room 257. Cabinets below hand sinks need cleaning in locked areas. Crack in shower floor, room 123. Sinks in both salons with hair in sink. Build-up on salon chairs.**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)
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant in bath/whirlpool.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#17 · Water fountains clean, good repair, properly regulated −1
Observed water fountains throughout facility with scale build-up around nozzles and several with water pressure too high and splattering onto floor or carpet.**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed lots of scale build-up on water dispenser, nourishment room. Ice in cooler in nourishment room in garbage bag, store food in food grade plastics.**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed clean linens on floor and under cart, linen room. Fans dirty in ironing area. Cardboard box sitting on clean linens. No records of amount of sanitizer going in each washing machine.**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).**Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).**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).**Ms. Katie Spegal present during inspection.
Aug 26, 2013 94 / 100 · 7 violations
Inspector comments: Mr. Ron Kloosterman and Scott Talaski present during inspection. **Medications unlocked in med room, medicare unit. **Maintain record of ppm amount of chlorine is being dispensed by each washing machine.**Keep plastic around single service ware in pantry storage.**Water fountain with too high of water pressure, splattering onto carpet, 2nd floor.**No thermometer in refrigertor, 1st floor nourishment room.**Do not use cup to dispense sugar, also label sugar, pantry.**No paper towels in soiled utility room, 1st floor.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed storage in shower room, 2nd floor.9. Toilet rooms shall not be used for storage. See rule .1312 (b).
#11 · Hand sinks used only for intended purpose −1
Observed dirty dishes in hand sink, memory care nourishment room.11. Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d).
#14 · Disinfectant accessible, properly used −1
Observed disinfectant not accessible in shower room, 1st floor.14. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed brown build up on ice chute, memory care nourishment room.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).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed bed with frayed edges, PT 1st floor. Torn mattress cover, room 117. Blinds dusty in central supply.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).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed cabinets need cleaning in nourishment rooms, med rooms and activity rooms. Oven, stove-top and microwave need cleaning in activity kitchen.36. All kitchenware and food contact surfaces of equipment, exclusive or cooking surfaces of equipment, used in preparation or serving of food or drink, and all food storage utensils, shall be cleaned after each use. 15A NCAC 18A .1320 (c).
#46 · Clothing clean, no tobacco used while handling food −0.5
Observed laundry attendant remove soiled linens from soiled laundry cart and carry them against her uniform.46. While on duty, employees shall wear visibly clean outer clothing and shall be clean as to their persons. 15A NCAC 18A .1324 (a).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “OAKBRIDGE TERRACE AT MATTHEWS GLEN” or State ID 2060400032). Inspection type (routine vs. follow-up) is not published in the county's data.