100/ 100
STEWART HEALTH CENTER, THE
6920 MARCHING DUCK DR, Charlotte, NC 28210
Rest/Nursing Homes · NC permit/State ID 2060400062
Latest result100 / 100
Last inspectedJun 22, 2026
Inspections on record23
On record sinceJul 29, 2013
Score history
Jul 29, 2013Higher is betterJun 22, 2026
Inspections & violations
Jun 22, 2026 100 / 100 · 0 violations
Inspector comments: No violations observed.
No violations were recorded for this inspection.
Dec 1, 2025 100 / 100 · 0 violations
Inspector comments: No violations observed.
No violations were recorded for this inspection.
May 27, 2025 100 / 100 · 0 violations
Inspector comments: No violations observed.
No violations were recorded for this inspection.
Sep 12, 2024 98 / 100 · 2 violations
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in rooms 113 and 204. REPEAT
#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 room 113 and 119F in resident room on second floor. Points not escalated due to maintenance adjusting water heater during inspection. REPEAT
Apr 11, 2024 98 / 100 · 7 violations
#2 · Walls and ceilings clean, good repair
NO POINTS DEDUCTED
.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 - chipped and splintered wood at the bottom of a door on the 3rd floor in storage area, also deteriorating wood plank in a spa on the 1st floor.
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. *Observed - Dusty air filters in some rooms A/C units as well as build up on an air vent in salon.
#8 · Toilet rooms free of storage, handwash signs posted
NO POINTS DEDUCTED
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchairs stored inside bathrooms inside resident bathrooms.
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected
NO POINTS DEDUCTED
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. *Observed - two spa areas one on 2nd floor and one on the 1st floor without disinfectant available for proper sanitation.
#16 · Hot water between 105°F and 116°F −1.5
*REPEAT*.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. *Observed - multiple public restrooms on the 3rd and second floor with water temperatures of 120 degrees, on the 1st floor, room 121 had a maximum water temperature of 93 as well as room 124 with a mix water temperature of 103.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair
NO POINTS DEDUCTED
.1314 (c) Ice machines and storage chests accessible to residents, guests, or the public shall provide ice through automatic ice dispensing equipment and shall not permit ice to be accessed using a scoop or bucket. *Observed - Ice bucket located in memory care where residents could access it. Facility assured that residents were under 24 hour supervision and that the ice bins were new ands they were unaware of rule, will now store container elsewhere.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
NO POINTS DEDUCTED
.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 - multiple pillows throughout facility that were stained.
Sep 27, 2023 98.5 / 100 · 5 violations
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no sign to direct employees to wash their hands in some restrooms throughout the building. Hand washing signs provided at the time of inspection.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed housekeeper has no knowledge about the appropriate contact time of chemical on surfaces for effective cleaning/disinfecting. The facility will need to train and educate cleaning staff on how to clean effectively according to manufacturer’s instructions.
#16 · Hot water between 105°F and 116°F
.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 is too hot at the time of inspection on Hawthorn drive and Dogwood Ave. Maintenance is adjusting the temperature down within the correct required range of 105F to 116F at the time of inspection.
#17 · Back-up water supply plan available and complete −0.5
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees.
- Observed the facility with the incomplete water back up supply plan. EHS emailed the administrator at the time of inspection the plan checklist. The facility will put in a complete plan and have it ready for next inspection.
#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 the refrigerator 3rd floor is missing a thermometer inside to indicate the temperature. Obtain a thermometer for all refrigerators.
Dec 16, 2022 100 / 100 · 0 violations
Inspector comments: Escorted by Charlie, Kevin, and Jennifer.
No violations were recorded for this inspection.
Jun 22, 2022 98 / 100 · 2 violations
Inspector comments: NOTE: Building currently under construction. Expansion.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage behind recliner in room 202. Observed water stained ceiling tile in hall near restroom close to elevator.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed red stains on separation curtain in room 118.
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).
Jul 12, 2021 92.5 / 100 · 6 violations
Inspector comments: Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountain in memory care area with leak around faucet and minor corrosion present. Repair.
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed thresholds to both restrooms in memory care area loose/detached.
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). Unable to verify linens laundered on site in facility are sanitized. No records provided for review. Unable to determine sanitization of items.
Any area where food is portioned, served or handled (does not include activity kitchens serving food to 12 people or less) shall be equipped with a separate hand wash lavatory with hot and cold mixing faucet, soap and individual towels or hand drying device. 15A NCAC 18A .1320 (b). Observed refrigerator removed from activity kitchen space to hallway area where there is no access to hand sink for hand washing. Management noted that relocation of refrigerator is temporary due to construction in activity kitchen area. Temporary signage placed on refrigerator to direct employees to wash hands in restroom prior to accessing the refrigerator.
#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 organic debris on bottom surfaces of toilet seat in common bath memory care. Organic material present on toilet room 127. REPEAT - no point escalation as all toilets observed to be operational during inspection.
#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 hot water supplied to hand sinks and other fixtures throughout with temperatures up to 120f. Temperature adjusted down to maintain between 100 - 116. Water temperatures ranged from 80-124F. Mixing valve adjusted several times. Mixing valve may need to be replaced if water range keeps fluctuating.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed bedside tables in patient room 127 and in activity area on first floor with peeling/damaged edges. Observed pillow with tears room 127. Observed debris under cushions of chairs in first floor common hallways. Observed loose/detached cabinet doors med room 1st floor. REPEAT
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled pillow cases in use on bed room 127.
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed no labeling on soiled laundry receptacles outside of kitchen area 1st floor and in hallway area 1st floor.
#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
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). Observed ambient air temperature of refrigerator in 1st floor activity kitchen at 50f with TCS foods including yogurt holding at 55f. Temperature logs on door of refrigerator indicate elevated temperatures for extended time. Food items discarded. Interior thermostat of refrigerator adjusted to lower level, air temperature reduced to 40f.
#44 · Food stored above floor −0.5
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 various food items including chips, coffee, seasonings, etc. stored directly on floor in storage closet.
Dec 16, 2020 95 / 100 · 3 violations
Inspector comments: Covid 19 restrictions, no signature required.
#5 · Ambient air temperature 65 to 85 F, equipment clean −2
Observed dust on ac filter in 203 and spill in ac unit in 102.
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 feces on toilet in room 116 and toilet out of order in 102.
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 −2
Observed bedside tray peeling in 122 and torn blue pillow in 209.
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).
Jan 22, 2020 94 / 100 · 6 violations
Inspector comments: #2: Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed crumbs and dust debris in the corners of the room in room 108.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls in utility, med room and residents sitting room in need of spot painting where peeling or removal of soap dispenser once was attached.
#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 filled vents in rooms 205, bath spa (English Garden), 129, 124, 122, & 117.
#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 growth on showerhead in room 108 and dirty shower in room 124.
#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). Replace damaged pillow in room 122. Observed residents's floor mat with torn cover. Observed crumbs under cushion of chairs in resident's TV sitting room. Observed recliners peeling headrest at the top of the leather and cracked on the armrest in the activity room.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed soiled linen on bed in rooms 205; 129; & 124.
#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). Clean build up in microwave in activity room. Observed beverage stains running down the front side of the cabinets in the activity kitchen. Replace stained table in activity room, observed diffused oil and beverage stains on table.
Jul 19, 2019 96 / 100 · 5 violations
Inspector comments: #3: The walls and ceilings of all rooms and areas shall be kept clean and in good repair. All 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. Observed holes in the wall in the common area toilet. Maintenance is currently replacing old paper towel holders with newer and smaller ones and will patch and paint when completed.
#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 shower in Rm#128 and in the Central Bath B.
#28 · Adequate storage, area clean, items properly stored −0.5
Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed air mattress stored on top of bed in room Rm#116
#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 pillows in Rm#116; 131; & Therapy room. Observed torn mattress cover in Rm#116.
Observed broken handle on drawer in Rm#102; CDI Maintenabnce replace broken handle.
Observed shifting tile in the bathroom in Rm#204
#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 soiled pillow case in Rm#116 and observed soiled sheets and crumbs in chair in Rm#109. Observed cracked head rest covers on recliners in Activity room. Observed crumbs in the bottom of the chairs in the TV room and at the nurses reception area. CDI Observed soiled shower chair in resident's shower. Housekeeping cleaned chair. Observed damaged sponge resident use for back and leg support in Rm#119. Maintenance discarded and will replace with new one. Advise to put a protective cover on the new one.
#36 · Approved utensils and equipment, cleaned and sanitized −1
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed spillage in the bottom of the refrigerator in the activity kitchen.
Apr 23, 2019 94.5 / 100 · 6 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#1 - Observed piece of carpet peeling up next to the bed in room 207. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#3 - Observed baseboards in need of replacement on the corners of walls near showers in restrooms of 122 and 131. Observed water stained ceiling tiles in first floor hallway by clean linen closet. Observed touch-up paint needed in several areas throughout including edge of doors and walls where there is scuffing. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#33 - Observed mattress cover with rip in 103. Observed stained bedspread and sheet in 117. Observed stained sheet in 122. Observed soiled linen bins without labeling in main laundry room. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). **Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#34 - Observed clean linen cart in med room of first floor with chemicals and other supplies being stored on it along with clean linen. **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).
#42 - Observed salad at 70F and cooked potatoes/meat at 83F in upstairs nourishment refrigerator. Food items came from kitchen, but resident was not able to eat at the time lunch was served. EHS advised that food be sent back down to the main kitchen to be left to properly cool until resident is able to eat. **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).
NOTE: Per discussion, thickener used for medpass is often saved for the next day after being opened and left out of temperature control. EHS advised that thickener not be saved if it has been opened and left out of temperature control for any length of time. Manufacturers label states that product can sit out for 8 hours after being opened or refrigerated for 7 days.
#8 · Facilities conveniently located, clean and in good repair −1
Repeat Observed rubber shower bumpers to be torn of where foam is exposed, or glue is left on edge of shower making this area no longer smooth or easily cleanable in rooms 122 and 131. Observed loose toilet seat in 106.
**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).
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Repeat Observed chairs and equipment being stored in separate area of spa but still in the restroom. EHS suggested finishing off area by installing a door.
**Toilet rooms shall not be used for storage. See rule .1312 (b).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1
Repeat Observed bed pan with name but no date in 103 and bed pan without name or date in 117.
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Repeat Observed backup water supply plan to state where backup water will be obtained from for all necessary activities but it does not give details on how each process will be carried out. Backup water supply plan needs to have detailed information on how water will be used for food preparation, hand washing, cleaning, bathing, laundry, and dish washing. Plan also needs to state that the health department will be contacted if loss of water exceeds 4 hours.
**Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#17 · Water fountains clean, good repair, properly regulated −1
Repeat Observed water fountains in need of cleaning around nozzles on first floor. EHS suggested using Q-tips to clean build-up.
**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 stained pillow in room 207. Observed cleaning needed on interior and exterior of cabinets in activity room of first floor. Observed soil on curtain partition in room 131.
**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).
Oct 8, 2018 94.5 / 100 · 6 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#2 - Observed cleaning needed on the floor by the toilet in room 131. **Keep all flooring clean. 15A NCAC 18A .1309 (a).
#3 - Observed base board damaged by shower in room 131. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#9 - Observed wheel chairs being stored in upstairs spa. **Toilet rooms shall not be used for storage. See rule .1312 (b).
#12 - Observed no soap or paper towels present in upstairs med room. Observed soap to come out of dispenser brown and soiled in soiled utility room on first floor. **Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#14 - Observed no disinfectant present in upstairs spa. Disinfectant provided. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#16 - Observed backup water supply plan to state where backup water will be obtained from for all necessary activities but it does not give details on how each process will be carried out. Backup water supply plan needs to have detailed information on how water will be used for food preparation, hand washing, cleaning, bathing, laundry, and dish washing. Plan also needs to state that the health department will be contacted if loss of water exceeds 4 hours. **Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#17 - Observed cleaning needed on water dispenser nozzle of upstairs nourishment area. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#34 - Observed clean linen being stored on high shelf in beauty salon. Linen must be covered for protection. EHS suggested using bags. Observed cleaning needed on personal clothing 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).
#43 - Observed thermometer missing from upstairs nourishment area refrigerator. Thermometer provided. **All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b).
#8 · Facilities conveniently located, clean and in good repair −1
REPEAT Observed pink build-up on shower chair in upstairs spa. Observed sponge shower floor leak preventer damaged in room 131. Observed cleaning needed in shower of room 131. Observed cleaning needed on toilet and toilet chair in room 104.
**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).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1
REPEAT Observed bed pan without label in room 104.
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed briefs being stored under hand sink in upstairs clean linen room. Observed labeling needed on storage cabinet in restroom of shared room #131.
**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
REPEAT Observed sofa with staining in room 209. Observed mattress cover with rip in room 104. Observed AC unit with spillage in need of cleaning in room 104. Observed wheelchair in need of cleaning in room 104.
**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
#36 · Approved utensils and equipment, cleaned and sanitized −1
REPEAT Observed cleaning needed in the freezer and refrigerator of nourishment area on first 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).
#40 · Food brought by employees or visitors handled properly −1
REPEAT Observed food brought from home with residents name but no date that it was brought into facility in nourishment refrigerator of first floor.
**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).
Jan 3, 2018 94.5 / 100 · 6 violations
Inspector comments: No Points Deducted:
3. Observed a water stained ceiling tile in the laundry room hall- Hawthorn.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8. Observed buildup on the shower chairs and tub in the Central Bath B.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
32. Observed the mattress in room 204 in disrepair.
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. Observed stained linen in room 209.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Mr. Randy present during the inspection.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
-Observed the AC/Heater unit filters with a buildup of dust in rooms 101, beauty salon, and 132. Clean.
-Observed dust/lint buildup behind and beside the dryer and in the lint trap. Clean and attach the pipe.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Repeat: Observed unlabeled bed pan in room 121. Relabeled.
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#28 · Adequate storage, area clean, items properly stored −1
Repeat: Observed boxes of patient care items stored on the floor in River Birch, Dogwood
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed buildup/residue in all the pill crushers. Informed the med techs of the violation and how to clean it.
Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed the cabinets (inside and doors) collecting residue and debris. Nourishment/Activity rooms.
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).
#40 · Food brought by employees or visitors handled properly −1
Repeat: Observed a bowl of salad not labeled in refrigeration unit on the 2nd floor. Label food with employee or resident name and date food was brought into facility.
Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).
May 31, 2017 96 / 100 · 4 violations
Inspector comments: General Comment:
#4. Observed several blown light bulbs in light fixture above hand washing sink and in showers in residents bathroom. Replace blown light bulbs or repair light fixture in residents bathroom.**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).
#5. Clean front cover and top of heating and cooling unit in styling center.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8. Observed damaged cushion toilet seat in room 203. Replace damaged cushion toilet seat.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#10. Observed 1 bed pan not labeled. Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#32. Clean spot of curtain separating beds in (1) room. Replace over bed table in room 107 with damaged covering. Have family member to replace (1)stained pillows in room 205. Replace mattress covering in room 127 with small tear.**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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Patch holes in wall in resident bathroom and room in 205 and 115. Tightly secure loose and missing base cove molding near base of walk-in showers throughout in rooms. Touch-up paint throughout where needed. Replace missing floor transitional molding near entrance to shower/bath that is not being used(downstairs). Monitor water stained and damaged ceiling tiles and replace.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no soap at hand washing sink on 2nd floor in med room and common bath/shower on 2nd floor. PROVIDE SOAP AND PAPER TOWELS AT ALL HAND WASHING SINKS AT ALL TIMES!
Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −1
Observed single service articles stored under plumbing fixture to hand washing sink in nourishment room on 2nd floor. DO NOT STORE OR PLACE SINGLE SERVICE ARTICLES UNDER HAND WASHING SINK! Work deliveries up as soon as possible(briefs). Store toilet paper off the 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).
#40 · Food brought by employees or visitors handled properly −0.5
Observed someone personal bowl of salad not labeled in refrigeration unit on the 2nd floor. Label food with employee or resident name and date food was brought into facility.
Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).
Dec 12, 2016 94.5 / 100 · 5 violations
Inspector comments: . No Points Deducted: 5. Observed HVAC units with residue/dust in 112, salon. Keep all ventilation equipment clean. 8. Observed loose toilet seats in some rooms. Observed a sink blocked from use in the clean utility room near the dining room. Observed no handwashing sink available in an area used to dispense nourishment items, main living room. Keep all handwashing sinks accessible. Keep toilets in good repair. Areas used to dispense food must have an approved handwashing sink accessible to the area. 12. Observed a medication room and a clean utility room missing soap or towels. Keep soap and disposable towels at all handwashing sinks. 35. Observed some salon brushes collecting hair. Observed damaged weights in the PT area. Observed a lift in room 208 with loose duct tape and collecting dust. Keep all resident contact equipment clean and in good repair. 3. Observed minor wall damage in some areas. Keep walls in good repair. 4. Observed two resident room shower lights not functioning. Maintain adequate lighting in all areas. 19. Observed ice accessible to the residents at the 2nd floor dining room. When the area is not in direct supervision by staff. The ice must be discarded or kept behind lock and key. 16. Back up water supply plan is no longer adequate since the pool water cannot be used to flush toilets (pool is being replaced), find another water source for flushing toilets.
#14 · Disinfectant accessible, properly used −2
Observed disinfectant not present in the 2nd floor common bathing area. Repeat Non-Compliance. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#28 · Adequate storage, area clean, items properly stored −1
Observed storage on the floor in several areas. Observed resident contact items stored less than 8 inches above the floor in one storage closet. Observed cabinets throughout the facility collecting debris. Observed resident personal items stored with single service items and multi-use equipment in several cabinets. Observed chemicals stored above resident items in two areas. Observed a personal drink and non clean items stored with clean paper towels on housekeeping carts. Observed a box of medicine stored under a sewage pipe. Clean all storage areas and reorganize so that facility supplies and equipment are stored in a clean location. 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 8 inches above the floor. Do not store clean items under sewage lines.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed med carts spoons stored in a container with the medicine/food contact surface up. Store the spoons with the handles up and as the 1st hand contact surface.
Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed clean linen stored with non-linen items in several areas.
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).
#40 · Food brought by employees or visitors handled properly −0.5
Observed personal food with no labeling in the new Activity Room's 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).
Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b).
Jun 30, 2016 95 / 100 · 4 violations
Inspector comments: No Points Deducted Today:
2. Observed a pile of lent collected on the floor by the dryer. Clean.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
28. Observed a box of paper towels stored under the sink pipe in the Central Bath.
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
32. -Observed a torn mattress in room 204. Replace.
-Observed the dividing curtain in an vacant room stained. Clean.
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).
Note: Observed single service cups stored with the mouthpieces unprotected in the therapy room.
Ms. Z and Mr. Randy present during the inspection.
#3 · Walls and ceilings cleanable, clean, good repair −2
Repeats:
-Observed stained ceiling tiles in the small laundry area hall and in the activity room by the sink.
-Observed walls in rooms damaged . Repair.
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 the underside of the shower chairs in the Central Bath stained. Clean.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
-Observed a rusted toilet riser in room 111.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1
Repeat: Per CNAs, the bedpans are cleaned in the restrooms. Follow the rule below.
Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c).
#14 · Disinfectant accessible, properly used −1
Repeat: Observed no disinfectant in the Central Bath.
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
Jul 9, 2015 95 / 100 · 5 violations
Inspector comments: 12. Observed no soap in the Upstairs Bath B.Observed the soap dispenser broken (not allowing soap to be dispensed) in the upstairs women's restroom.Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).14. Observed no disinfectant in the Dogwood Bath B.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).32. -Observed stains under the bedside tables in rooms 107 and 204.-Observed a dried residue inside of the drawers in the common room on River Birch Ln.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. Observed holes & stains in the sheet in room 119.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).27. Observed outdated rabies shot paperwork. Per Ms. Z, no animals have been on campus in a while. If any animals visit, ensure all their records are up to date.Mr. Richard & Ms. Z present during the inspection.
#3 · Walls and ceilings cleanable, clean, good repair −1
-Observed water stained ceiling tiles in the large laundry room, in the Oxygen room on Hawthorn hall, in the common room by the front entry, and at the end of River Birch Ln ( by room 134).-Observed wall damage in a few rooms and storage rooms.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
Repeat Non-compliance: Observed dusty AC filters in several bedrooms on the 1st floor. *Points will increase if observed on the next inspection.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
-Repeat Non-Compliance: -Observed sinks slow to drain in Dogwood Bath B, River Birch Ln room 125, and Upstairs room 207. *Points will increase if observed on the next inspection.-Observed water leaking at the upstairs med room handsink. *Points will increase if observed on the next inspection.Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1
Repeat Non-Compliance: Per a CNA, the bedpans are cleaned in the restrooms. Follow the rule below.Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed 3 out of the 5 pill crushers inspected were soiled.Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
Mar 20, 2015 96 / 100 · 4 violations
Inspector comments: 3. Observed water stained ceiling tiles in the large laundry room.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.28. Observed a bag of briefs stored on the floor in room 108.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).32. -Observed a torn pillow in room 119.-Observed soiled dividing curtain in room 131.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. -Observed torn sheet in room 207.-Observed torn mattress cover in room 210.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).34. Observed the sides of the washing machines in the large laundry room rusting.Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).Ms. Hillary present during the inspection.Report emailed to hvisscher@cypressofcharlotte.com & hillaryvisscher@gmail.com
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed AC unit filters in rooms throughout dusty.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 sinks slow to drain in 108, Garden Spa 1, River Birch hall restroom, 131, upstairs med room & clean utility, and 207.-Observed water leaking from the knobs on handsinks in Hawthorn Park laundry and the upstairs med room. Also, some of the handsinks still drip even after the knobs are turned to off.-Observed pink residue and/or rust in the handsinks in the small laundry on Hawthorn Dr, and the upstairs clean utility.Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)-Observed pink buildup on the shower heads in 108 and English Garden Spa.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −1
-Repeat Non-Compliance: Observed unlabeled bedpans in rooms 108 and 119.**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).-Per a CNA, the bedpans are cleaned in the restrooms. Follow the rule below.Where bedpans are cleaned in patient/resident rooms, bedpan cleaning facilities shall consist of a water closet with bedpan lugs or spray arms. 15A NCAC 18A .1312 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
-Observed the microwaves in the nourishment rooms and the large stainless refrigerator collecting residue. Clean.-Observed the splash area of the water machine in the break room by River Birch collecting residue.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).-Per one of the nurses, he cleans the water pitcher on the med cart with hot water. follow the the rule below.All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619.
Aug 21, 2014 96.5 / 100 · 3 violations
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed unlabeled bedpans in rooms 105 and 131.**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Observed hot water reaching to 138F in activity room and throughout building. River Birch community water temps in proper 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).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed worn bathing linens and sheets in several areas. Bagged bedpan in contact with clean bath towels in room 105. Soiled sheets on beds in rooms 105, PTOT, 131.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
May 15, 2014 95 / 100 · 5 violations
#8 · Facilities conveniently located, clean and in good repair −1
Observed chipped paint on rails of tubs, central baths. Soiled toilet, 2nd floor central bath. Loose sink fixture, PT bathroom**(a) All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept clean and in good repair.
#11 · Hand sinks used only for intended purpose −1
Observed hand sink used to get water for drinking pitchers, 2nd floor activities room.**Handwash lavatories shall be used only for handwashing. 15A NCAC 18A .1312(d)
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant available in shower room.**A supply of cleaning and disinfectant agents shall be accessible to bathing areas. 15A NCAC 18A .1312(f).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed chair with torn arm, room 126. Soiled chair, room 101.**(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. 15A NCAC 18A .1319
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed clean linen on floor and touching floor from cart, 1st floor clean linen room.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319Ms. Zaneida Chambliss and Randy present during inspection.
Jul 29, 2013 96 / 100 · 4 violations
Inspector comments: l32-All furniture, including mattress covers and pillows, shall be in good repair. Pillow and mattress cover torn in room 10442-All foods shall be protected from contamination and cold held potentially hazardous foods held at or below 45F. Observed butter packets on counter in kitchenette. According to chambliss, butter has been out since breakfast. Item discarded.Keep most recent documentation for proper sanitization of laundry readily accessible.Judy Daye present.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Keep all ventilation clean. Observed filters and ventilation ducts on wall units are dusty. Clean ventilation in laundry.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Labek all bedpans with resident's name and date. Disposable bed pan in room104 was not labeled with name and date.
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Hot water in several handsinks (dogwood bath, room 107, and 206) greater than 119F. Maintain hot water from 100-116F in handsinks and in bathing facilities accessible to residents.
#28 · Adequate storage, area clean, items properly stored −0.5
.Patiengt care items shall not be less than 8 inches off the floor. Observed boxes of blankets stored on the floor of closet and a box of plush toys on the floor of the upstairs bathing room.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “STEWART HEALTH CENTER, THE” or State ID 2060400062). Inspection type (routine vs. follow-up) is not published in the county's data.