98/ 100
BROOKDALE CARRIAGE CLUB PROVIDENCE I
5802 OLD PROVIDENCE RD, Charlotte, NC 28226
Rest/Nursing Homes · NC permit/State ID 2060400047
Latest result98 / 100
Last inspectedAug 20, 2026
Inspections on record25
On record sinceJul 25, 2013
Score history
Jul 25, 2013Higher is betterAug 20, 2026
Inspections & violations
Aug 20, 2026 98 / 100 · 3 violations
#2 · Walls and ceilings clean, good repair −2
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
Observed stained ceiling tile in activities room and mens 1st floor bathroom.
REPEAT.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.
Observed toilet chair torn in room 316. Observed cleaning needed to 1st floor shower room.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work.
Observed no handwashing signs in mens 1st floor bathroom and bathroom next to shower room. Needs handwashing signage.
Feb 4, 2026 97.5 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −2
REPEAT
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed walls scuffed throughout in need of repair (barbershop, shower rooms, dining room).
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed large amounts of storage (non-bathing / shower) items stored inside shower / spa rooms in need of removal.
Oct 15, 2025 97 / 100 · 6 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
General Comment:
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 stained carpet in 345.
#2 · Walls and ceilings clean, good repair −2
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling tiles in upstairs hallway and activity room downstairs. Observed build up on ceiling around vent in library. REPEAT.
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust build up in a/c filters in multiple rooms and on ceiling vents in dining room.
#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 shower floors/seats/etc in need of cleaning in multiple rooms including shower rooms. Observed toilet in need of cleaning in 347. Observed toilet chair tearing and outside shower coping peeling in 316. Needs cleaning/repair. Observed caulking cracking around sinks in common area bathrooms. REPEAT.
#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.
Facility has parts of the backup water supply plan but is missing a few items. EHS emailed a template to fill out for full compliance.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated
General Comment:
.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 food in activity room refrigerator with no name or date labels.
Apr 9, 2025 98 / 100 · 4 violations
Inspector comments: *NOTE: Health & Wellness Director, Rachel Teague, was present during time of inspection. Report emailed to:
Cshaw2@brookdale.com
RacTea@brookdale.com
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed to walling throughout building. Observed ceiling plaster peeling around ceiling vents in main lobby. Observed black build up to ceiling in main lobby area. Clean. Observed stained ceiling tiles in activity room. Repair.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet seat laminate peeling in room 308. -General comment.
#26 · Premises properly maintained −1
.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed bag of trash and litter outside of dumpster area.
#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 removable AC vent with dust accumulation in room 308. Clean.
-General comment.
Sep 26, 2024 99 / 100 · 1 violation
Inspector comments: Administrator, Claude Shaw, was present during time of inspection. Report emailed to the following:
Cshaw2@brookdale.com
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed several stained ceiling tiles throughout building. EHS advises facility to ensure no active leak is occurring and to have stained ceiling tiles replaced.
Apr 23, 2024 98 / 100 · 6 violations
#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 several floor tiles missing and detailed cleaning needed to flooring in laundry room located on level 2.
#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 ceiling peeling near vent closet to nurses station in main lobby. Observed black build up to ceiling creases in main lobby.
#3 · Ceiling attachments cleanable, clean, good repair −0.5
.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed removable vent to AC unit with heavy dust accumulation located in room 338.
#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 loose toilet seat in room 322.
#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 shared shower room located on level 2 being used as storage for furniture/wheelchairs. Per conversation with staff, the shared shower room is not used. EHS advises facility to adhere to notated rule.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −1
.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. EHS emailed facility required template procedure. REPEAT VIOLATION.
Sep 27, 2023 99 / 100 · 5 violations
Inspector comments: *NOTE: Inspection led by EHS, Jeremy Stawinsky
#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 employee restrooms without handwash signs posted.
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. EHS emailed facility template guidance for notated rule.
#25 · Containers and areas clean; sufficient capacity
.1316 (c) The designated rooms and containers described in rule .1316 (b) shall have the capacity to store the institution's refuse, recyclables, and returnables and shall be kept clean. Observed dumpster area with minor debris.
#45 · Hot and cold holding equipment provided; thermometers provided, accurate −0.5
.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 activity room fridge without a thermometer.
#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. EHS emailed facility required written procedure.
Apr 17, 2023 99 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −1
Observed stained ceiling in halls. Observed peeling paint around HVAC on ceiling in library. Observed missing ceiling tile in activity room.
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#7 · Facilities provided, accessible, clean, good repair
Observed toilet seat peeling in room 323.
.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.
Nov 9, 2022 97 / 100 · 3 violations
Inspector comments: No points deducted: #3- Observed stained ceiling tile in activity room. #33-Observed stain on comforter in 336 and stain on sheet in 341.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed dust build up on ac filters in rooms 336, 341, and in salon.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
Re-caulk around hand sink in women’s restroom on 2nd floor and in room 341.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stains in under couch cushions in library. Observed torn bedskirt in room 341.
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).
May 18, 2022 96 / 100 · 4 violations
Inspector comments: No points deducted: #17– Observed water fountains with broken plastic on bars where PIC stated the residents pull themselves up from their wheelchairs and use on button to support weight.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
All walls shall be easily cleanable. 15A NCAC 18A .1310.
Walls shall be easily cleanable and shall have washable surfaces to the highest level reached by splash or spray in rooms or areas where such occur. 15A NCAC 18A .1310. Observed hand railings pulling from wall in residents room and in common bathrooms. .
#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 in common area with red soil on toilet, observed toilet in common area soiled with brown accumulation on toilet. Observed multiple seats broken or damaged or scratched. Common restrooms, regrout where needed. Ensure toilet tank cover is correct for the toilet in men’s restroom on 1st floor.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed end table in bathroom with chips and cracks in finish. Observed tear in common area on chair.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). Observed lint behind dryers in both laundry rooms. Observed puddles of water behind both wash machines. Leaks at both had been occurring long enough to pop up tiles in front of units.
Jul 7, 2021 95.5 / 100 · 5 violations
Inspector comments: No Points Deducted:
15. Observed no backflow preventer on the shower wand hose in room 330. Provide.
Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
43. Observed no thermometer in the refrigerator in room 338. Provide.
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
*NOTE: Ensure housekeeping staff as well as all other staff members are changing their gloves upon exiting rooms.
Ms. Jenny Renville present during the inspection. Report emailed to: jrenville@brookdale.com
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed heavy dust buildup on the AC unit filters in 334, 330, and 338. Clean.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Observed no backup water supply plan. Template emailed.
Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed boxes of gloves and other items stored on the floor in shower rooms. Follow the rule below.
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 stained pillows, pillow cases, bedding, and/or bed pad in rooms 334, 338, and 349. Follow the rule below.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Repeat: Observed the edges of the therapy bed fraying in the therapy room. Repair or replace.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Dec 9, 2020 95 / 100 · 3 violations
Inspector comments: No points deducted: #5--Observed dust on ac vents in 330. Covid 19 restrictions, no signature required.
#2 · Floors clean, carpet clean, dry, odor free −2
Observed carpet stained in 330 and 339.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −2
Observed toilet chair stained and toilet lid damaged in room 330. Observed urine on toilet in room 339.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Observed damage on wheelchair in room 330 and therapy table frayed in therapy room.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Feb 11, 2020 91.5 / 100 · 7 violations
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed stained carpet in sitting room at the front entry and in Rooms 313, 336, 341, and in hall. PIC has contracted a carpet cleaning team to clean carpets and they are currently cleaning hall carpet on both floors.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water spots on ceiling in 1st floor female toilet and staff toilet. Repair or replace ceiling tile. Repair holes in the wall in female toilet on the upper level. Spot paint wall under urinal in male toilet on the lower level.
***REPEAT***
#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 soiled toilet seat in Rm 341
and dried urine stains on raised toilet seat in Rm 305. Repair female toilet on the lower level; continuously run.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed pink residue on showerhead in Rm 325, 317, and 348.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed counter at handwash sink coming off wall, secure tightly to wall and cork to seal it.
#28 · Adequate storage, area clean, items properly stored −0.5
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed
resident's sheets and blanket stored on the floor in resident's Rm 325 ; Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions
shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Clean crumbs in the bottom of the sofa on the 1st and 2nd floor resident's sitting area and in Rm 305. Observed soiled pillow in Rm 305, 317, and 348.
***REPEAT***
#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 bed sheets and on pillow case and pillow in Rm 305, 317, and 348.
***REPEAT***
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319; Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c) Observed soiled armrest on resident's chair in Rm 325. Observed soiled bed sheets and on pillow case in Rooms 305, 317, 325, 341, and 348.
Aug 6, 2019 91.5 / 100 · 7 violations
Inspector comments: No Points taken:
#2 - Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed sticky floor in Rm 354. Clean floor around base of wall in the closet in Rm 320.
#28 - All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed resident's briefs and blanket stored on the floor in resident's Rm 332 ; observed patients pillow on the floorin the closet in Rm 337.
#30 - Medication cart clean. 15A NCAC 18A .1318 (c). Observed crumbs in the bottom of the cup, spoon, and strawer conpartment of the medication cart.
#43 - Replace thermometer in refrigerator in Rm 337; in the refrigerator in the nurse's station on the 1st floor and medication room on the 2nd floor.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water spots on ceiling in 1st floor toilet, mop room and 2nd floor West hall. Observed hole in wall in the 1st floor toilet. Observed wall paper peeling at the base of the wall in the 1st floor shower.
#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 feces on toilet seat in Rm 332 on the 2nd floor in resident's bathroom and in Rm 303 on the 1st floor. Repair leaking toilet in the women restroom & replace lid on toilet in men's restroom on the 2nd floor.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Bathtub and shower in 1st floor shower room
with debris in bottom. Rm 354 has pink build up at the bottom of shower curtain.
#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 storage in the resident's bathroom on the West hall 1st and in the shower room on the West hall 2nd floor.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Clean crumbs in the bottom of the sofa on the 2nd floor resident's sitting area and in Rm 332.
#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 urine stains on resident's sheets in Rm 318 and on blanket in Rm 337.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c). Clean and remove crumbs off of wheel chair in Rm 337
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed sticky residue in bottom of refrigerator in library/common area for residents use.
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).
Jan 16, 2019 92 / 100 · 7 violations
Inspector comments: No Points Deducted.
#2 Keep all flooring clean. 15A NCAC 18A .1309 (a) Observed carpet stain in resident room 315.
#9 Toilet rooms shall not be used for storage. See rule .1312 (b) Shower room on 2nd floor being used as storage room. Water continued to be supplied to shower and able to be used for intended purposes.
#10 Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Bed pan located in bathroom of resident room 315 in need of proper label to include residents name and the date.
#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). Handsinks located in Shower Rooms on both 1st and 2nd floor recording hot water temperature of 90F and 88F.
14. Observed no disinfectant in bathing room on lower level west hall. Bathing room is not currently being used.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
IF VIOLATION IS NOTATED ON THE NEXT INSPECTION, POINTS WILL BE DEDUCTED (even if the area is not in use at current time).
#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 the floor in patient rooms 307, 315, and 333.
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 draws and cabinets throughout general areas such as med rooms and beauty salon in need of cleaning.
Inspection done and typed by Madeline Rawson, REHS #2775
#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 stained ceiling tiles at nursing station oxygen room and in 2nd floor stairwell. (Improvement shown). Observed the wallpaper in the 2nd floor spa hall area peeling. Repair.
#5 · Ambient air temperature 65 to 85 F, equipment clean −2
REPEAT: Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed air filters for AC units in resident rooms 307, 315, 333, and 334. Increase cleaning frequency of air filters.
#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). Bathtub and shower in 1st floor shower room with debris in bottom. Shower in need of cleaning in resident room 333. Shower heads with pink build up at nozzle in several resident rooms.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed build up in and around toilets located in the 1st floor shower room, resident room 307, and resident room 333.
#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 build up on salon chair in need of cleaning. Observed large stain in middle of the mattress located in resident room 333. Observed stained chairs in common areas on both 1st and 2nd floors.
#33 · Linen changed when soiled. Soiled linen handled properly −1
REPEAT: 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 bedding in resident rooms 334 and 340. (Improvement shown).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
REPEAT: Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c). Observed hair rollers in beauty salon with hair still in them from previous person. Increase cleaning frequency and clean rollers more thoroughly between each person.
#36 · Approved utensils and equipment, cleaned and sanitized −1
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). Microwave located in beauty salon and 2nd floor Med room in need of cleaning. Refrigerator in activity room in need of cleaning. Refrigerators located in resident rooms 315 and 333 in need of cleaning. Coffee maker in oxygen room located in nurses station with build up in need of cleaning. Increase cleaning frequency of all kitchenware and food contact surfaces of equipment throughout facility.
Sep 21, 2018 95.5 / 100 · 5 violations
Inspector comments: No points were deducted for the following:
10. Observed disposable urinal with no labels underneath the toilet in room 313. Urinal was discarded. Ensure that urinals are being properly labeled.
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
12. Observed handwashing sink in the hallway restroom on lower level west hall missing soap.
**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
14. Observed no disinfectant in bathing room on lower level west hall. Bathing room is not currently being used.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
42. Observed thickener stored on medicine cart that stated should be refrigerated after opening. Ensure that ice baths are provided if thickener will be stored on the cart. Also date when opened.
**All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a).
43. Observed refrigerator in activity room without a thermometer.
**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed water stained ceiling tiles throughout. Ensure that leaks are not ongoing. Needs to be replaced.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed HVACs and filters in need of cleaning during inspection. Ensure that systems and filters are being cleaned more frequently.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed debris underneath couch cushions in the common area on the lower level west side. Needs to be cleaned. Observed positioning pad torn in therapy room.
**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained mattress cover in rooms 322 West and 351 East. Ensure linen is being removed once soiled.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair rollers with hair still in them from previous person in the beauty salon. Needs to be thoroughly cleaned more frequently.
**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
Jun 15, 2018 96 / 100 · 3 violations
Inspector comments: No points deducted: #5--Observed black residue on AC vent in salon and dust on vent in hallway near front desk upstairs. Observed Med carts unattended on both floors.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed feces on floor in room 324.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −2
Observed pink residue on showerheads in rooms 324 and 319. Observed feces on front of toilet bowl in room 324. Observed stain on shower floor in 319. Observed wall damage behind toilets in women's restroom on bottom floor. Observed paper towels on floor in restroom and dead insects in tub of unused shower room on bottom floor.
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).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed stain in freezer in library/common area. Freezer labeled for residents use.
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).
Nov 27, 2017 96.5 / 100 · 3 violations
Inspector comments: No points deducted: #2--Observed stains on carpet in room 351. No pets visiting facility.
#3 · Walls and ceilings cleanable, clean, good repair −2
Observed stained or bulging ceiling tiles in hallway near rooms 322, 324, 340 and in room 317. Observed self closure on bathroom door broken. Observed stains splashed on wall in trash room on top 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 stain on toilet seat in 321, stain on shower head in 321, and rust around base of sink in 347. Clean sink on 304.
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)
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair in rollers in salon. Ensure rollers are cleaned after each use. Observed stains in bins/rolling cart in salon.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Jan 30, 2017 96 / 100 · 4 violations
Inspector comments: No points deducted.
16. Observed back up water supply plan not complete. Must tell how much water per person, handling of food, and how toilets will be flushed, using pool water for flushing etc.
28. Observed a single half empty box of toilet paper stored on the floor of a housekeeping closet on the top floor.
43. Observed a single cooler in a patient room with no thermometer.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed damage to ceilings under vents in main lobby area and in library. Clean and repair the water damage.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed build up of dust and debris on air conditioning vents in rooms 346, 308 and 314.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
Observed build up of debris on shower heads in rooms 329, 308 and 346. Observed debris on the bathtub of the shower room on the bottom floor of the facility.
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 stained pillow in room 346 and a stained sheet in room 319.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Mar 23, 2016 95 / 100 · 5 violations
Inspector comments: Escorted by Jaynie Segal.
No points deducted #5--clean air vents in rooms 347,318, and restroom 350.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed walls needing repair in men's room near front desk, in trash can room, and in unused shower room near window across from tub.
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 tub stained and needing to be cleaned in rooms 347, 319, 350(clean shower sprayer also), and in room 318.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Clean toilet in rooms 347, 324,portable toilet in room 329. Repair loose toilet in room 318.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stained mattress in room 318.
Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained pillows and pillowcases in rooms 347 and 340. Clean or replace.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Clean washing machine in lower level laundry room.
Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).
Dec 14, 2015 96.5 / 100 · 3 violations
Inspector comments: 2- 15A NCAC 18A .1309 All floors shall be clean. Observed soiled floor in the upper laundry room.5- 15A NCAC 18A .1311 (b) Ventilation equipment shall be kept clean. Observed soiled HVAC vents in the Beauty Shop and room 334. Clean regularly.
#3 · Walls and ceilings cleanable, clean, good repair −1
15 A NCAC 18 A .1310 The walls and ceilings shall be kept clean and in good repair. Observed water damaged ceiling in upper Men's restroom and lower level sitting area. Observed wall paint chipping in lower level lobby area. Re-paint wall area and replace damaged tiles as needed. (Repair leaks if needed)
#8 · Facilities conveniently located, clean and in good repair −1
15 A NCAC 18 A .1318 (A) All patient care or consumables shall be stored at least 8 inches off the floor (REPEAT). Observed briefs stored on the floor in room 318 restroom.15 A NCAC 18 A. .1312 (f) Toilet facilities fixtures and furnishings shall be kept clean and in good repair. Observed toilet seat soiled in room 322.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
15A NCAC 18 A .1312 Hand washing sink in laundry area shall be properly stocked. Observed no soap at the laundry hand sink. Hand sinks shall be properly stocked.
Jun 17, 2015 96 / 100 · 5 violations
Inspector comments: General Comment 42. Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a) - Observed hummus out in at room temp. in room 319.
#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). - Observed a burnt out light in the shower room on the bottom floor. Replace burnt out bulb.
#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 slime under the shower chair in room 336 and 306. Observed pink slime on the legs of the shower chair in room 310. Clean chairs.
#28 · Adequate storage, area clean, items properly stored −1
Repeat violation. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). - Observed personal care items stored on the floor of the bathroom in room 341.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 a wheel chair stored in the shower room on the top floor. Observed a wheel chair and walker stored in the shower room on the bottom floor. Store those items in other areas that are not related to bathing or toileting.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c). - Employee in physical therapy room was not aware of the proper cleaning process of equipment between patients. Proper cleaning procedure was explained.
#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 rooms 324, 352, 308 and the activity kitchen with thermometers reading 0F. Replace thermometers.
Nov 10, 2014 95 / 100 · 4 violations
#1 · Floors easy to clean, no obstacles, drains where needed −1
Observed frayed carpeting at hallway to room thresholds of many rooms.**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#6 · No evidence of microbial growth −1.5
Observed water line on wall and severe mold growth on walls, LL housekeeping closet.**Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d).
#15 · Approved water supply, no cross-connections −2
Observed no backflow preventers on shower wands in rooms 311 and 316.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed sugar stored below sink plumbing in library. All storage shall be off the floor.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
May 16, 2014 94 / 100 · 6 violations
Inspector comments: . . General Comments3. Observed minor wall damage and missing base-boards throughout facility. 15A NCAC 18A .1310 WALLS AND CEILINGSThe walls and ceilings of all rooms and areas shall be kept clean and in good repair.25. Observed spray bottle of water mislabeled as "Clorox with bleach" in main laundry room. Keep all chemicals properly labeled. 32. Observed wing-back chair in library area with some staining on seat cushion, some blinds in guest rooms with slight dust accumulation.15A NCAC 18A .1319 (a) All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or otherfurnishings in institutions shall be kept clean and in good repair.33. Observed small stains on pillow case, pillow, and throw blanket in room 310. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled.
#8 · Facilities conveniently located, clean and in good repair −1
Observed loose toilet seats in resident room 347, resident room 314, 1st floor shower room, and 1st floor community rest-room. Observed pink build up on shower wand in room 310 and the upstairs shower room. **15A NCAC 18A .1312 Fixtures and furnishings shall be kept clean and in good repair. Tightly secure toilet seats. Regularly clean all bathing equipment.
#17 · Water fountains clean, good repair, properly regulated −1
Repeat violation- Observed black residue build-up on nozzle of drinking fountain on 1st floor. **15A NCAC 18A .1314 Drinking fountains shall be of sanitary angle-jet design, kept clean, and properly regulated. Regularly and thoroughly clean all parts of drinking fountains.
#28 · Adequate storage, area clean, items properly stored −0.5
Observed adult diapers stored on floor of 2nd floor storage room. Observed excessive storage on floor of 1st floor storage room. **15A NCAC 18A .1318 Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean. All patient care or consumable items shall be stored at least eight inches above the floor to prevent water contamination from cleaning floors and shall not be stored below exposed sewer lines. Relocate adult diapers to a shelf above the floor. Reorganize storage room to facilitate cleaning of the floor.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed box of tissues stored on top of the sharps container on med cart in the 2nd floor nurse's room.**15A NCAC 18A .1318 Food and utensils used on medication carts shall be handled in a sanitary manner. Relocate tissues to clean side of cart.
#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 push cart with milk not held cold or time stamped and portioned cups of oatmeal not held hot or time stamped. Observed unidentified floating residue in drink dispenser in main lobby area.** All potentially hazardous food shall be maintained at safe temperatures (45 degrees F. or below, or 140 degrees F. or above) except during necessary periods of preparation and serving. Potentially hazardous foods served shall be either consumed ordiscarded within two hours of being removed from temperature control. Ensure foods are being actively held cold, held hot, or date stamped with time removed from temperature control.
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed refrigerator in library area and in 1st floor therapy room with no indicating thermometer.** Each refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read except that indicating thermometers shall not be required for food iced in coolers for transport. Install indicating thermometers.
Jul 25, 2013 91.5 / 100 · 9 violations
Inspector comments: Mr. Bill Moore present during inspection.GC #1 Carpeting frayed at threshhold, Room 307.GC #3 Wall in disrepair in PT closet and bathroom in shower area, 1st floor.GC #8. Faucet fixture corroded, shower room bathroom 1st floor.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Ob/served dusty vents in 2nd floor laundry and 1st floor women's bathroom. Lighting below 10 ft. candles in 1st floor shower room. Cracked sconce cover in lobby, 1st floor.15A NCAC 18A .1311 LIGHTING, VENTILATION AND MOISTURE CONTROL(b) Ventilation equipment shall be kept clean and in good repair.(a) All areas shall be provided with sufficient illumination to effectively perform all operations, including cleaning, and shall have at least 10 foot candles of light at 30 inches above the floor in all areas other than food service areas.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed unlabeled urinal in Room 340. Urinal needs to be labeled and cleaned properly. No bed pan lugs available in bathrooms.15A NCAC 18A .1312 TOILET: HANDWASHING: LAUNDRY: AND BATHING FACILITIESWhere facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. Where disposable bedpans are reused, they shall be labeled with the patient's name and date and shall not be used by more than one patient. Bedside commodes shall be cleaned after each use and shall be cleaned and disinfected before use by successive patients. Hand sinks shall not be used for cleaning bedpans or bedside commodes.
#17 · Water fountains clean, good repair, properly regulated −1
Observed water fountains on 1st floor with black residue build-up around nozzle.15A NCAC 18A .1314 DRINKING WATER FACILITIES: ICE HANDLING(a) Drinking fountains shall be of sanitary angle-jet design, kept clean, and properly regulated.
#28 · Adequate storage, area clean, items properly stored −0.5
Observed cabinets and drawers with debris/residue in common areas, actiivties and beauty.15A NCAC 18A .1318 MISCELLANEOUS(a) Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture and supplies, and kept clean.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed med cart with box of Kleenex on sharps container. Unprotected single service cups and pill cups on top of med cart.15A NCAC 18A .1318 MISCELLANEOUSFood and utensils used on medication carts shall be handled in a sanitary manner. Unused medication cups shall be kept covered or inverted.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed furiniture in lobby with food/used band-aid below cushions.15A NCAC 18A .1319 FURNISHINGS AND PATIENT CONTACT ITEMS(a) 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.
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed Refrigerator and stove in activities room need cleaning. Mold growth in refrigerator in Room 303. Refrigerator in lounge needs cleaning.15A NCAC 18A .1320 FOOD SERVICE UTENSILS AND EQUIPMENTNon-food-contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition.
#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 opened box of thickener in med cart drawer, half empty, no date when opened. Med nurse had no idea when opened. Labeling says to refrigerate after opening.15A NCAC 18A .1323 FOOD PROTECTION(a) All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. A ...ll perishable foods shall be stored at temperatures which will protect against spoilage. All potentially hazardousfood shall be maintained at safe temperatures (45 degrees F. or below, or 140 degrees F. or above) except during necessary periods of preparation and serving. Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. Medications shall be stored in a manner which will not contaminate food or food products such as in separate covered containers or in separate refrigerators.
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed no thermometer in Room 303. Broken thermometer in activities kitchen.15A NCAC 18A .1323 FOOD PROTECTIONEach refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “BROOKDALE CARRIAGE CLUB PROVIDENCE I” or State ID 2060400047). Inspection type (routine vs. follow-up) is not published in the county's data.