98/ 100
BROOKDALE CHARLOTTE EAST
6053 WILORA LAKE RD, Charlotte, NC 28212
Rest/Nursing Homes · NC permit/State ID 2060400083
Latest result98 / 100
Last inspectedJul 9, 2026
Inspections on record26
On record sinceOct 17, 2013
Score history
Oct 17, 2013Higher is betterJul 9, 2026
Inspections & violations
Jul 9, 2026 98 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −2
Observed touch up paint needed during the inspection.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
Observed recliner in room 1111 worn. GENERAL COMMENT
**.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair.
Jan 8, 2026 97.5 / 100 · 6 violations
Inspector comments: *NOTE: Observed some baseboards missing on level 1 of assisted living unit with fans blowing air. Per conversation with staff, facility sprinkler system went off causing floor to get wet. During time of Inspection, EHS did not notice floor being wet.
Head of Maintenance, Derrick Jones, and Resident Services Director, Levi Adgate, were present during time of inspection. Report emailed to:
Djones9@brookdale.com
Mpleasants@brookdale.com
Ladgate@brookdale.com
#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 scuff markings on walling in bathroom of room 1114. Observed minor scuff markings to wall sporadically throughout assisted living. -General comment.
#7 · Facilities provided, accessible, clean, good repair −1
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed cutting shower curtain liner with black build up in room 1105.
#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 at 85F in room 1105. -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 dilapidated furniture stored outside of dumpster area. Per conversation with staff, furniture is scheduled to be removed on 11/9/26.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed staining on mattress in room 1105.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed minor staining on pillow case in room 1114. Clean. -General comment.
Jul 17, 2025 98.5 / 100 · 3 violations
Inspector comments: *NOTE: Executive Director Mary Pleasants, was present during time of inspections. Report emailed to:
Mpleasants@brookdale.com
Djones9@brookdale.com
#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 pink buildup up on bottom of shower curtain in room 1112. Clean. REPEAT VIOLATION.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed disposable urinal not labeled in room 1105. Label.
#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. Facility did not have required procedure plan. EHS emailed procedure plan to facility. -General comment.
Jan 8, 2025 98.5 / 100 · 2 violations
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected −1.5
Observed shower curtain with build up on the bottom in room 1115. Observed shower chair cracked in room 1202.
**.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.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
Observed one drawer missing a dresser knob in room 1122.
**.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.
Aug 28, 2024 98 / 100 · 2 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
Observed floor in need of cleaning in room 1114.
**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.
#7 · Facilities provided, accessible, clean, good repair −2
Observed caulk needed around shower drain in room 1215. Observed toilet in need of tightening in staff restroom. Observed shower floor in need of cleaning and sink cabinet laminate in need of repair in room 1114. Observed underside of shower chair in need of cleaning in room 1102.
**.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.
Apr 17, 2024 99 / 100 · 1 violation
Inspector comments: NOTE: Observed completed back up water supply plan during the inspection.
#7 · Facilities provided, accessible, clean, good repair −1
Observed caulking needed around the shower drain in rooms 1210 and 1217.
**.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.
Oct 26, 2023 98 / 100 · 4 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
Observed floor linoleum torn near the toilet in room 1119. Needs to be repaired.
**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.
#2 · Walls and ceilings clean, good repair −1
Observed touch up paint needed in room 1112 and various spots during the inspection. Observed touch paint needed on ceiling from previous leak near the restroom on the 2nd floor.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#8 · Toilet rooms free of storage, handwash signs posted −1
Observed chair and wheel chair in the bathing suite.
**.1312 (b) Bathrooms shall not be used for storage of items not currently in use.
Observed handwashing sign missing at some staff hand washing sinks. Signs provided during the inspection. REPEAT
**.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.
#17 · Back-up water supply plan available and complete
Observed incomplete back up water supply plan. Be sure to include what will happen with laundry in the event there’s a loss of water.
**.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.
Jun 22, 2023 97 / 100 · 8 violations
#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 mold/mildew ceiling vent in 1st floor clean linen 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 mold/mildew under sink, shower chair soiled underneath and in drain holes, shower drain where shower chair nor being removed for thorough cleaning in room 1115. Loose toilet seat (CDI), missing vanity door edging in room 1208.
#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. New Rule-make sure all common or staff bathrooms have hand wash signs.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. New Rule-urinals and emission basins now require labeling
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed trash under cushions of chairs in common area.
#36 · Laundry area and equipment kept clean −1
.1319 (e) Laundry areas and equipment shall be kept clean. REPEAT-Observed trash, lint, clothing and a partial bag of diapers behind dryers. Hand sink in laundry area visibly soiled. Cabinets with spills and broken drawers
#51 · Proper use of restriction, exclusion, and reporting
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. New rule-pertains to staff training on food borne illnesses and symptoms and exclusion policy when sick
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. New rule-recommend having a kit with the cleaning and disinfecting instructions ready for use when needed
Nov 7, 2022 96 / 100 · 4 violations
Inspector comments: Observed couple of drain flies in bathroom of room 1108. Prevent pests.
#1 · Floors easy to clean, no obstacles, drains where needed −2
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Repeat- Observed several transition strips missing and tape in its place. Maintenance said they are looking for flat transition strips, because doors were hanging up or causing a trip hazard.
Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Observed boxes stored on floor in storage/maintenance rooms. Flooring in disrepair in bathroom of room 1122.
#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 non-slip strips in shower loose or lifting in room 1108. Discolored shower curtain in room 1212.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed rusted toilet chair in room 1108. Loose toilet seats in room 1102 and both hall bathrooms 2nd floor. Toilet seats tightened during inspection. Observed drawers in laundry rooms broken/in disrepair.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed gum swabs stored with tools and clothes line clips in laundry room. Diapers in common bathroom. Protect patient care items from contamination
#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 no thermometer in fridge in room 1102. Refrigerator dripping and may not be working properly/needs cleaning.
May 19, 2022 93.5 / 100 · 7 violations
Inspector comments: #4-All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Repeat-Observed low lighting in some storage rooms
#11-Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed wet towel in hand sink, laundry 2nd floor
#13-Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed hot water >135F in PT and beauty salon. Install point of use anti scald device (thermostatic mixing valve) on hand sink in PT and hair wash basin in salon.
#15-Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed several missing backflow preventers in rooms and at the hair wash basin in the beauty salon.
#30-Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Through discussion, med tech on 2nd floor said she fills her water pitcher in the break room. Only sink in break room is a hand sink. Get water for pill distribution from kitchen.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed several transition strips missing and tape in its place. Maintenance said they are looking for flat transition strips, because doors were hanging up or causing a trip hazard.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed damaged walls, ceilings with stains. Repair walls where items have been replaced and a hole is left behind.
#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 hoppers and laundry room hand sinks not on regular cleaning schedule
Facilities in operation prior to March 1, 2003 that do not have handwashing lavatories in all areas required shall have an approved hand hygiene program established. 15A NCAC 18A .1312 (d). Observed no hand sanitizer available in beauty salon.
#14 · Disinfectant accessible, properly used −1
The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f). Observed no written instructions for disinfecting plumbing for water jets.
#25 · Approved pesticides properly stored and handled −1
Only those pesticides shall be used which have been approved for a specific use and registered with the E.P.A. and with the N.C. Department of Agriculture. 15A NCAC 18A .1327 (b). Observed roach baits, wasp spray and other insecticides throughout building.
#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 furniture in room 1202 in disrepair. Observed cabinets and drawers in laundry rooms in direpair
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Repeat-Observed storage within 18" of the med room handsink, recommended that they can install a splash guard. Observed diapers stored in soiled utility room cabinets. Do not store any patients contact or clean equipment in this room.
Jul 7, 2021 91.5 / 100 · 9 violations
Inspector comments: 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 burnt light bulb or dim light in the following areas: 1st floor clean linen closet, room 1117 shower, 2nd floor Bathe suite shower. CDI - Maintenance replaced all the light bulbs.
2) All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a). Observed no drain plug on both dumpster. Obtain a plug to prevent attracting and harboring pests.
Inspection was led by Aimee Lee
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed the wall damaged in the following areas: activity room on the first floor, second floor community bathroom 1. Observed carpet stained and ripping outside of room 1101. Observed cabinets in disrepair and damaged in both laundry rooms (1st and 2nd floor). Observed the following cabinets in need of cleaning: 1104 and med room.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower curtains damaged or stained in the following rooms: 1222
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seats in the following areas: 2nd floor community bathroom 1&2, room 1104, room 1117, first floor community bathroom 1 and 1203 toilet set damaged. Observed stained toilets in the following areas: 1203, 1202, 1222, 1104
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed jets in the tub in 2nd floor bath suite accumulating residue.
Observed shower chair in need of cleaning in the following areas: 1203 an 1222. Observed shower floor in the bathe suite accumulating pink residue.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed the following handsink clogged: room 1102 and first floor community bathroom.
#26 · Premises clean, no breeding places or rodent harborage −1
Minimize accumulation of feces and other allergens generated by insects and other vermin by cleaning the facility. 15A NCAC 18A .1317 (d) Observed dead insects on the floor in the following areas: 2nd floor clean linen, 1st floor clean linen, 1st floor storage room next to community bathrooms. Clean to prevent accumulation and attracting pests.
#28 · Adequate storage, area clean, items properly stored −0.5
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed towels and catheters stored under the resident handsink in room 1202; Observed patient care items stored under handsink in room 1117. Observed cleaning chemicals stored over diapers in the 2nd floor laundry room CDI- items were removed/relocated.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained sheets and crumbs on bed linens in room 1222. - REPEAT-
#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 accumulation of debris the first floor washing machine in need of cleaning under the interior lip. Observed all lint filters to all dryers in need of cleaning. CDI - cleaned during the inspection.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed storage on the ground in the following areas: 2nd floor clean linen room, 2nd floor hopper room, and room 1203 linens on the floor. Observed storage within 18" of the med room handsink. CDI items were relocated, recommended that they can install a splash guard.
#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 microwaves in the following rooms accumulating food debris on interior: 1203,1202, 1222, 1102. Keep clean and maintain. Observed refrigerator in room 1203 in need of cleaning.
#43 · Food storage units with thermometers, maintain temperatures −0.5
All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b). Observed the following refrigerators in the following rooms with temperatures above 45F: 1203 (50F), 1202 (58F), 1222 (47F)
Dec 1, 2020 98 / 100 · 1 violation
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATIONS:
#26. The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). Observed mattress and washing machine stored outside of dumpster area. Per conversation with Head of Maintenance a call has been made for city to pick up items.
#43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in refrigerator in room 1217.
*NOTE: Head of Maintenance was present during time of inspection. Report emailed to Executive Director at the following:
diane.baldus@brookdale.com
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed black build up on clear plastic shower curtain liner in room 1111. Observed stain on cloth shower curtain in room 1217.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b). Observed build up in bathroom sink in room 1220.
Feb 20, 2020 97 / 100 · 3 violations
Inspector comments: NO POINTS TAKEN FOR THE FOLLOWING VIOLATIONS:
#24. Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). Observed roach in storage room located on left 1100 hallway.
*NOTE: was present during time of inspection and inspection report was emailed to the following: djones9@brookdale.com dbobbitt@brookdale.com
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). EHS emailed facility a guidance document regarding the back up water supply plan.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountains located on lower left 1000 and upper 2000 hallway with pink build up located inside of drinking nozzle. Observed upstairs water fountain in need of repair, water wasn't coming out of drinking nozzle rather spilling onto floor.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed minor staining on pillow case in rooms 1107. Observed staining on pillow in room 1101.
Aug 8, 2019 94 / 100 · 4 violations
Inspector comments: NO POINTS TAKEN FOR THE FOLLOWING VIOLATIONS:
#12. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no liquid soap at handwashing sink located at shared spa handsink.
#28. Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed all patient rooms checked with storage under handsink sewage lines of patient care items such as diapers, wipes, lotions, etc.
#32. Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a). Observed heavy yellow staining on mattress in room 1214. Clean/replace.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed staining on pillow in room 1214. Clean/replace.
#43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in refrigerators in rooms 1223, 1209, and 1122.
**Inspection Report emailed to: djones9@brookdale.com
dbobbitt@brookdale.com
#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 debris build up inside of all vents checked during time of inspection. Clean.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed staining under toilet seats in rooms 1223, 1116 and 1108. Repair.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seats in rooms 1122, 1214 and, 1201. Observed staining on toilet in rooms 1223, 1209, 1117. Clean.
REPEAT VIOLATION.
#26 · Premises clean, no breeding places or rodent harborage −1
The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). Observed heavy litter build up where dumpster is stored outside of facility behind white fencing. Clean.
#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 staining on bed linen in rooms 1223, 1108, 1116 and 1117.
REPEAT VIOLATION.
Jan 23, 2019 96 / 100 · 3 violations
Inspector comments: No points were issued for the following:
17. Observed water fountains on the second floor with white build up. Needs to be cleaned.
**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
28. Observed disposable under garments stored on the floor during inspection. Have cleaning staff place items above the floor when doing their cleaning rounds.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#8 · Facilities conveniently located, clean and in good repair −2
Observed shower heads with white build up during the inspection. Needs to be cleaned more frequently.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed loose toilet seat in the hallway bathroom that needs to be tightened. Observed toilet seat in need of cleaning in room 1214.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant in the bathing spa. The disinfectant holder was not large enough to hold disinfectant bottle. Spoke with director about finding a smaller and placing the label on it or installing a cabinet large enough.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). _
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed mattress cover with brown staining in room 1214. Needs to be removed.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Oct 2, 2018 93.5 / 100 · 5 violations
Inspector comments: No Points Deducted:
3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
-Observed damaged wallpaper in various areas in the hallway on the second floor. Repair.
-Observed stained ceiling tiles on the 2nd floor. Replace.
5. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
Observed AC filter with heavy debris build-up in Room 1218. Ensure to increase cleaning frequency.
10. Per an employee, she cleans bed pans in the resident's shower. *USE THE HOPPER
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).
21. Observed the dumpster open, one of the doors broken, and a rusted hole in the front. Change unit.
All solid wastes containing food scraps or other decomposable materials shall, prior to disposal, be kept in leak-proof, non-absorbent containers, which shall be kept covered with tight fitting lids when filled or stored, or not in continual use. 15A NCAC 18A .1316 (a).
22. Observed trash on the ground along with mattresses and furniture outside by the dumpster. Clean.
All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d).
27. Observed a heavy pet smell in room 1215. Observed cat food and spills around the litter box. Clean.
Animal pens, litter boxes, bird cages and other areas on the premises shall be cleaned to minimize accumulation of animal wastes, pet dander and allergens. 15A NCAC 18A .1317 (e).
Furniture in the resident's rooms are provided by the families. Please be aware that all items are the responsibility of the facility.
Inspection lead by Jessica Le.
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a).
-Observed dust and debris buildup on the floors behind the laundry machines- both floors.
-Observed pink and/or black buildup on the shower floors in the bathing spa and 1112.
-Observed dead bugs on the floor in the stairwell. Clean.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat:
-Observed stained toilet seats, loose toilet seat, and/or toilet risers in 1202, 1206, bathing suite on the 2nd floor, 1112, and in the hall restroom on the 2nd floor.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#14 · Disinfectant accessible, properly used −1
Observed no cleaning chemical in the spa. Provide.
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 −0.5
-Repeat: Observed a box of briefs stored on the floor in the 2nd floor storage room.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
-Observed a box of oral syringes stored under the handsink pipe in the nurse's station- 1st floor.
-Observed briefs and other personal items stored under the handsink pipe in their restrooms. *Suggestion: place in a closed storage bin in order to keep under the sink.
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 −2
Repeat:
-Observed stained chair in room 1117, 1112, 1218, common room on 2nd floor.
-Observed stains and a hole in the "box spring" in room 1206.
-Observed a stained mattress pad, hole in the mattress cover, stains in the freezer, and stained pillow case in room 1218.
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 5, 2018 96.5 / 100 · 3 violations
Inspector comments: No Points Deducted for the Following:
1. Observed crack in floor tile underneath the toilet in room 1207. Needs to be repaired.
**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
28. Observed personal care items stored on the floor during inspection in resident's room. Advised to have housekeeping staff check for personal items during routine checking of rooms.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
33. Observed stained mattress cover on bed in room 1116.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#8 · Facilities conveniently located, clean and in good repair −2
Observed stained shower curtain and brown staining in sink in room 1115. Observed toilet seat with chipping paint in room 1116. Needs to be repaired. Observed toilet seat with brown staining in rooms 1101, 1207 and 1213. Needs to be thoroughly cleaned.
**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).q
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed soiled urinal without proper date labeling in room 1207. Ensure urinals are being cleaned and that they're properly being labeled.
**All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed torn pillows on resident's bed in room 1204. Advised to discard pillows with blue plastic covering, once they begin to tear to ensure moisture is not allowed to be absorbed.
**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).
Aug 9, 2017 95 / 100 · 6 violations
Inspector comments: NO POINTS DEDUCTED
1. Observed missing floor tiles in mechanical room that needs to be replaced.
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
5. Observed ventilation filters in common area on first floor that needs changing.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
34. Observed patient care items stored on line cart with clean linen. Needs designated area away from 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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed stained ceiling tile in storage room on second floor and damaged tile in employee restroom on first floor. Needs to be replaced.
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 stained toilet seat in room 1214, needs to be cleaned.
Keep all toilet equipment clean and in good repair. See rule .1312 (b).
Observed stained shower curtain in room 1214, needs to be cleaned. Observed soiled hopper missing a sprayer on second floor storage.
Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f).
.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed bed pan in room 1205 and 1214 that needs to be labeled and dated.
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
Where 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. 15A NCAC 18A .1312 (c). Observed hopper not used in a long time, bedpans are supposed to be cleaned in soiled utility. •
#17 · Water fountains clean, good repair, properly regulated −1
Observed drinking fountains on first and second floor that contained build up. Needs to be cleaned. (REPEAT)
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#26 · Premises clean, no breeding places or rodent harborage −1
Minimize accumulation of feces and other allergens generated by insects and other vermin by cleaning the facility. 15A NCAC 18A .1317 (d) Observed drain flies in mop sink. Debris build up in drain.
#28 · Adequate storage, area clean, items properly stored −0.5
Observed single service cups stored under hand wash sink in Associate Care Giver area. Needs to be removed. Storage stored below hand sink in med room, 1st floor.
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
Feb 2, 2017 94.5 / 100 · 6 violations
Inspector comments: No Points:
3 Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling leak in the storage room on second floor.
4 All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a).
Observed light out in the janitor closet on first floor and a loose light cover in the bathroom of room 1106.
9 Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheelchair and mattress stored in second floor bathing facility.
10 Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed unlabelled bedpans in room 1104.
13 Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e) Observed hot water at 119F in room 1106 and at 120F in the activity kitchen upstairs.
32 All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed furniture in the lobby area and at entrance to facility stained.
**Henry Moore (maintenance) and Tabitha Bridges were present during the inspection.
#8 · Facilities conveniently located, clean and in good repair −1
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed a soiled tub in the second floor bathing facility and soiled shower chairs in rooms 1206 and 1112.
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a).
Observed an elevated toilet chair in room 1106 and no handsink/sanitizer in the salon.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Observed dirty toilet and toilet chair in second floor bathing facility.
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
(REPEAT) Observed backup water supply plan/procedure document was not complete. A checklist for preparing the document was issued and emailed.Observed an **Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
(REPEAT) Observed a clogged fountain on the second floor hall and calcium buildup in the first floor hall.
#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).
(REPEAT) Observed single use cups at first floor water station uncovered.
NOTE: Observed an unlabeld spray bottle with an unknow substance. **Alway label generic bottled with name of product when transfered from original container.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b).
Observed no records for calibration of sanitizer dispenser's concentration in laundry area.
#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).
Observed soiled coffee pots stored in a cabinet above handsink and a soiled microwave in the second floor activity kitchen. Observed refrigerators in rooms 1106, 1112, and 1206 in need of cleaning to remove residue. Also observed a refrigerator in room 1212 with no thermometer present.
Nov 7, 2016 96 / 100 · 3 violations
Inspector comments: (NO POINTS DEDUCTED)
8. Observed loose toilet seat in bathroom uptstairs hallway.
12. Observed soap not present at hand wash sink in storage room containing hopper 2nd floor.
15. Observed back up water supply plan present, but not organized. Have everything present next expection.
35. Observed handles missing/drawer fronts missing in laundry room 2nd floor.
36. Observed fridge in room 1206 with debris present.
Mr. Henry was presnet during inspection.
#3 · Walls and ceilings cleanable, clean, good repair −2
Repeat Non Compliance: Observed water stained ceiling tiles present 1st floor hallway.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#17 · Water fountains clean, good repair, properly regulated −1
Observed white calcium build up present on water fountains 1st and 2nd floor.
**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#28 · Adequate storage, area clean, items properly stored −1
Repeat Non Compliance: Observed front cups not covered properly. Keep cups stored in protective sleeve.
Repeat Non Compliance: Observed boxed items stored on floor in 2nd floor storage closets.
**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).
Jun 2, 2016 97 / 100 · 2 violations
Inspector comments: (NO POINTS DEDUCTED)
16. Observed water reaching 94F in main lobby restroom. Observed slow drain sink in same restroom.
28. Observed boxes stored on floor in 2nd floor storage closet.
30. Observed cups on med cart and at front juice bar not covered at mouth contact surfaces.
36. Observed fridge collecting residue in room 1114. Keep all fridge articles clean and in good repair.
#3 · Walls and ceilings cleanable, clean, good repair −2
Observed water stained ceiling tiles located main halls. Improvement seen from previous inspection.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#17 · Water fountains clean, good repair, properly regulated −1
Observed water fountains collecting residue on nozzle located 1st and 2nd floor.
**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
Oct 29, 2015 96.5 / 100 · 3 violations
Inspector comments: #4 Observed light out in storage closet in 2nd floor and 1st floor closet. Provide proper lighting in areas. #5 Observed vent collecting dust in room 1218. Keep vent clean. #15 Observed water supply present with date stating 2011. Operator stated plan hasnt changed. #19 Observed water fountain debris build up on nozzle on 1st and 2nd floor. Water fountains in need of cleaning.#21 Observed top dumpster lid missing. Provide proper coverage.#32 Observed stained room divider in room 1218, and on pillow in same room.Mr. Henry was present during inspection
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed water stained ceiling tiles 1st and 2nd floor, in storage rooms, closest and stairwells. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat Non Compliance: Observed rust build up on toilet chair in 1118, soiled restroom chair in room 1112. Observed pink residue build up on shower wand and shower head in room 1218, 1206.**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).
#28 · Adequate storage, area clean, items properly stored −0.5
Repeat Non Compliance: Observed clean linen stored on floor in clean linen closet 2nd floor. Observed med boxes stored on floor in first floor common area left side of main hall. Observed patient contact items stored on floor in 2nd floor storage closet.**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).
May 5, 2015 95.5 / 100 · 4 violations
Inspector comments: . 3) Observed a loose ceiling vent in the 1st floor laundry room. Observed water damaged ceiling tiles in the 2nd floor storage room with the hopper. Observed wall damaged at HVAC unit in room 1111 and at 2nd floor laundry room wall at washer. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.12) Observed a soap dispenser not functioning in the storage room/hopper room on 2nd floor. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). 5) Observed some resident room bathroom vents with dust. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). 30) Observed one medication cart collecting residue in a drawer. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).43) Observed the refrigerator in room 1207 holding at 55 F. All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b). Refrigerator adjusted during inspection.Meredith Greer present
#8 · Facilities conveniently located, clean and in good repair −1
Observed rusted toilet chairs at toilets in resident rooms. Observed shower heads and hoses collecting residue.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).
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Repeat Non-Compliance. Observed hot water in resident rooms at or above 120 F.Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed linen on the floor in the 2nd floor linen closet. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed chemicals stored above patient care items in a 2nd floor storage closet. Observed damaged laundry room cabinet doors. Observed toilet paper stored within the splash zone of a mop bucket on a house keeping cart.Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed two resident rooms with soiled linen on the beds. Observed soiled towels not covered in the salon.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b).
Nov 7, 2014 96.5 / 100 · 4 violations
Inspector comments: . Sandy Ladd was present during the inspection.#3 - Observed the wall paper was lifting and curling in several areas on the hallway. **All walls shall be easily cleanable. 15A NCAC 18A .1310. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.#9 - Observed wheel chairs were stored in the 2nd floor restroom/shower room. **Toilet rooms shall not be used for storage. See rule .1312 (b).#27 - Observed the rabies vaccination expired on 10/23/2014 for the cat in room 1101. **Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f).#32 - Observed some chairs inthe hallway was stained and had food debris between the cushions. **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).
#8 · Facilities conveniently located, clean and in good repair −1
Observed the toilet was dirty in the 2nd floor community shower room, and an elevated toilet seat was dirty in room. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).Observed the shower chair and the shower head with pink bacteria residue in room 1206. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
(REPEAT NON-COMPLIANCE) Observed the hot water was 119F in room 1108. **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).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed chlorine bleach is no longer used for sanitizing linen and hot water does not reach 160F. The facility is now using "Oxi Clean" which is not a sanitizer. **linens shall be washed in at least 50 parts per millionchlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer's instructions. **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).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed several hair rollers, curling irons with accumulated hair, and the "barbicide" solution with stored hair combs had debris and needed changing (the solution was no longer blue in color).**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
Apr 7, 2014 95 / 100 · 4 violations
Inspector comments: Sandy Ladd was present during the inspection.#4 - Observed the light was not working in the 1st floor clean linen closet. **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). #13 - Observed the hot was was at 97F in the staff restroom, 118F in room 1108. **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).#36 - Observed the refigerator needed cleaning in room 1108. **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).#32 - Observed one chair with crumbs and debris collecting under the cushions in the 2nd floor hallway. **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).
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed the AC unit was leaking from the ceiling in the 2nd floor hallway, the AC filters in the 2nd floor sunroom and in room 1218 with accumulated dust.**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 the toilet was dirty in the 2nd floor shower room.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).Observed the shower chairs and mats with pink and black build-up in rooms 1108, 1101, the shower curtain and mat with pink build-up in room 1218, and the shower was not clean in the 2nd floor shower room.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant solution on the housekeeping cart on the 1st floor. House keeping staff stated that the H2 Orange2 Sanitizer was used in the bathroom/showers.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).**Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f).
#15 · Approved water supply, no cross-connections −2
Repeat Non-COmpliance - Observed no backflow preventer on one of the can wash fixtures in the 1st floor housekeeping area. The hose attachement was removed. Observed an inprovement from previous inspection.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
Oct 17, 2013 93.5 / 100 · 6 violations
Inspector comments: Sandy Ladd was present during the inspection.#35 - Observed a double occupancy room(1118) with tooth brushes stored within splash zone of the sink. The room only had one occupant.**Maintain 12 inch splash zone around sinks in shared restrooms.**A room or area shall be provided for cleaning patient contact equipment. See rule .1319 (c).#43 - Observed the refrigerator in rm 1220 was at 50F. **All refrigerators shall maintain a temperature of 45 F or below. See rule .1323 (b).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed the wall (wall paper) was damaged at the end of the 1st floor hallway, ceiling damage in the staircase and 2nd floor hallway(near housekeeping closet). Replace water damaged ceiling panels once leaks are repair. **Keep all walls and ceilings clean and in good repair. See rule .1310.
#8 · Facilities conveniently located, clean and in good repair −1
Observed the elevated toilet seat and shower chair in rm 1118 were not clean, and the shower chair in rm 1220 with pink build-up. **Keep all bathing equipment clean and in good repair. See rule .1312 (a) and (f). **Keep all toilet equipment clean and in good repair. See rule .1312 (b).
#15 · Approved water supply, no cross-connections −2
(Repeat Non-Compliance) Observed no backflow prevention devices on the shower wands in each bedroom, and can wash hoses. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. Seer rule .1313 (d).
#27 · Pet areas clean, veterinary records available −1
Observed rug under litter box with pet stains and litter scattered on the floor near the box. **Animal pens, litter boxes, bird cages and other areas on the premises shall be cleaned to minimize accumulation of animal wastes, pet dander and allergens. See rule .1317 (e).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed the microwave needed cleaning in the living room kitchenette, the freezers need defrosting in each resident room visited, and the refrigerator gaskets with mold in the 2nd floor mechanical storage room. **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 −0.5
Observed food not supplied by the facility was stored in the living room kitchenette refrigerator was not labeled. **Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought in. See rule .1321 (b).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “BROOKDALE CHARLOTTE EAST” or State ID 2060400083). Inspection type (routine vs. follow-up) is not published in the county's data.