BROOKDALE CARRIAGE CLUB PROVIDENCE II

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling tiles in 2nd floor hallway. Needs repair/replacement. REPEAT.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed debris in spa room tub. Observed toilet and sink in spa room in need of cleaning. Observed drain in room 112 sink slow draining. Needs cleaning/repair.

.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometers in upstairs dining room refrigerator. (Staff put thermometer in refrigerator). Observed thermometer in downstairs dining room refrigerator was broken. Needs new thermometer.

.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 dust build up on the ceilings around the vents upstairs. Needs cleaning. REPEAT. Points not escalated because EHS observed no wall issues which were the reason for the violation on the last inspection.

.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 reaching only 99F in 117 and 103F in 115. All other rooms checked reached 105F minimum. Needs to be 105-116F.

.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 back up water supply plan missing some requirements. Needs to be complete. EHS provided a template for facility to complete for back up water supply plan.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up on gaskets and ice build up covering freezer on small refrigerator in Nourishment room. Observed spill in dining room refrigerator on first floor. Needs cleaning. REPEAT.

.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food in dining area refrigerator on first floor with no name or date label. Needs name and date.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed to walling throughout facility. Minor improvement from previous inspection.

.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose toilet seat in room 108. Observed cleaning needed around corners of toilet in room 128.

.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 stripped seat in room 128. Observed yellow staining on mattress cover in room 113.

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed cleaning needed to shelving and pull out drawers of refrigerator in nourishment area on level 1.

1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed carpet staining in room 117.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed stained ceiling tile outside of room 119. Observed black build up on ceiling in living room area on second floor.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust build up on vents in room 130. Improvement made from previous report.

.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed minor touch up paint needed to walling and bottoms of doors throughout facility.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation to removable AC vent in room 101. REPEAT VIOLATION.

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no handwashing signs posted at employee toilet rooms. REPEAT VIOLATION.

.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 brown staining on mattress cover in room 101.

.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. EHS emailed facility required procedure plan.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable AC vents in rooms 105, 121, and 123. REPEAT VIOLATION.

.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 minor staining under so toilet seat in rooms 112 and 113.

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no handwashing signs post at restrooms that employees use (first inspection since this new rule went into effect).

.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. This is the first inspection since this new rule went into effect, EHS emailed facility required procedure plan.

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed air filter with build up of dust and debris in room 110. Observed ceiling air vents in hallways with dust build up. REPEAT

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 debris accumulating under seat cushions in common areas on the first and second floor. REPEAT Observed room 111 with debris build up in recliners and stains on pillows. Observed build up on recliner head rest with heavy build up in room 110.

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Repeat: Observed dusty vents in hallway and storage areas. Keep vents clean. Observed PTAC filters dirty as well as microbial growth on the air vents.

Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed broken toilet riser in room 124. Toilet riser in room 128 needed cleaning. Hoppers need to be maintained clean. Toilet not flushing in spa room. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed leak at sump pump in 1st floor med room. 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 in beauty shop. Facility to provide.

Repeat-Observed no backup water supply plan. Template emailed. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).

The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). Observed a lot of abandoned furniture near the compactor out of sight of visitors. Remove trash quickly so pests are not encouraged to hang out

All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed depends, dermal wound care, and ear thermometer covers stored below hand sink plumbing. Observed liquid meal replacement stored on floor, med room 1st floor. Observed soiled pillow and other items stored on floor of closet, room 105.

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 trash/debris under cushions of common furniture.

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed threadbare top sheet on bed in room 105. Soiled linens in rooms 113, 124 and 128.

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). Through discussion the bibs are washed in the onsite laundry room, they are not using an EPA laundry sanitizer. Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed shower curtains not wrapped around entire shelf in clean linens rooms.

Repeat: Observed black buildup on the outside of the AC units and on the filters in 104, 110, 129, and 124. Follow the rule below. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed no backup water supply plan. Template emailed. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).

Repeat: Observed stained bedding, pillows, and/or pillow cases in rooms 104 and 110. Follow the rule below. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

Observed holes in wall near towel rack and toilet rail in restroom in room 106. Obsreved black markings on wall in room 115. Touch up walls where needed. Observed dust on ceiling tiles around HVAC vents in dining areas. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

Observed dust or black residue on ac filters or ac unit/vents in rooms 106, 110, and in both dining areas (upstairs and downstairs). Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed pink cover stained in room 115 and pillowcase stained in 123. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed big dust particles in bottom of the closets in several rooms. Sweep bottom of all of the closets. ***REPEAT***

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed pink build on the shower floor in Rm #121. Observed a bag of linen on the shower floor in Rm #133. PIC removed linen from shower. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed urine stains at the base of the toilets throughout; clean around base of the toilets. ***REPEAT***

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 stained pillow in resident's room #107. PIC removed pillow from bed. ***REPEAT***

Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled bed linen in Rm #115 and Rm #121.

Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed trash in the corners of the rooms and hall. Clean dried debris on the floor in the soil utility room. All carpet shall be kept odor free. 15A NCAC 18A .1309 (a). Observed stained carpet throughout the facility. Overall general housekeeping needs improvement

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed soiled toilet in Rm# 107 and soiled hopper toilet that is not being used, however slight improvement have been made to the overall cleanliness

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 trash and food debris in the bottom of the chairs and stained in the seating part of the chairs. Repair chair cushion in common seating area. Stained pillow removed from residents room at the time of the inspection.

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linen on the floor. Properly stored at the time of inspection.

REPEAT: Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower curtain and shower chair with build up, in need of cleaning in resident room 116. Observed hairwashing sink located in beauty salon in need of cleaning. Observed leaking spray nozzle at beauty salon sink. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet chairs with rust in resident rooms 114 and 116. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed corrosion on the back side of faucet handles at handwashing sink located in laundry room on resident hall.

Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed a bowl and vase with build up and debris stored in hallway laundry room. Items were discarded. Observed boxes of toilet paper and paper towels stored on floor in custodial closet.

Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed chemicals, paper products, and other items on shelf in clean linen area. Relocate items to prevent contamination of clean linen. 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 .1319 (b). Observed linens being washed on "Personal Cycle", not using proper sanitizing.

Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed flooring in corners blocked by furniture and behind washer/dryers need cleaning. Carpeting in main rooms stained and needs cleaning.

Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed several rusted toilet chairs and 1 elevated toilet seat that needs cleaning between the seat and the toilet. Riser chair cracked on seat, needs replacing. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed central shower with tub and sink needing cleaning.

Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed diapers and other patient care items stored below hand sinks in several rooms.

Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed soiled pill crushers on med carts. Keep interiors clean even when using plastic pill sleeve

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 torn mattress protector in room 129. Chairs in common areas need wiping down (near dolls) Broken cabinet in bathroom, 2nd floor.

Observed stains on carpet in 1st floor common area. Keep all flooring clean. 15A NCAC 18A .1309 (a).

Observed vents in hallway with dust build up. Observed AC vent in room 110 with black residue. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed stains on chair in library and in hallway with baby carriage. 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 stained pillowcases in room 110 and 133. Pillowcase in 133 torn. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

Observed dust on vents in hallway and in janitor;s closet on first floor. Observed dust on ac filters in room 102. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed toilet seat peeling and rust on toilet chair (legs) in room 110. Reseal hand sink to wall in 1st floor restroom near clean linen closet. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

Observed hair in shampoo bowl in beauty salon. Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).

Observed ceiling vents in hallways on both floors, in laundry rooms, and med rooms needing to be cleaned. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet chair in room 108 in need of cleaning and a loose toilet seat in the 1st floor hall bathroom.

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 in all restrooms and various resident rooms across facility at 120F

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained sheets in room 104, as well as stained pillows and pillowcases in room 108, and a ripped pillow in room 122.

Repeat Non Compliance: Observed hoppers in need of cleaning more frequently. Repeat Non Compliance: Observed hand sink blocked in 2nd floor soiled utility room. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

Observed bagged clothes on floor in residents closet in room 124. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

Observed stains on furniture 1st and 2nd floor and lobby furniture. **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 laundry room floor needs cleaning. Lots of soap residue on floor. Floors under shelves in clean linen rooms need sweeping.**Keep all flooring clean. 15A NCAC 18A .1309 (a).

Observed several A/C filters dusty in rooms and dusty vents in common areas. Cobweb in window sill of room 101.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed cracked grab bar in 1st floor bathroom. Rusted toilet seat in 2nd floor bathtique. Hoppers need cleaning out more frequently. Soiled toilet chair and shower in room 106. Hand sinks blocked in both soiled utility rooms. Damaged/soiled cabinets in laundry.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)**Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d).

Observed no code to get in cabinet in bathtique (disinfectant inaccessible).**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).

Observed ice bin/cooler without a drain. Ice used for drinks needs to be drained.**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).

Observed wipes stored below hand sink in soiled utility room.**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).

Observed no thresh hold piece below door of 1st floor laundry. Floors need cleaning behind washer and dryers.**Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a).**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).

Observed dusty vents and dusty A/C filters throughout.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed corroded faucet handle in laundry on 1st floor. Loose toilet seat in room 107. Soiled shower chair, shower room on 2nd floor. Beauty salon with damaged shelving. Damaged counter top in laundry, 1st floor.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

Observed water fountains with scale build-up in nozzles.**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).Ms. Nancy Culp present during inspection.

Shower floor of room 109 not sloped to drain, water and slime build-up. Bathing suite had a diaper thrown on floor.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).

Observed health care items stored below hand sink in biohazard room. Boxes on floor in soiled utility**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

Observed person drink stored on top of med cart, 1st floor and box of tissues stored on top of sharps container.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).

Observed linens not protected in clean linen rooms. Do not store linens on top of shelving and keep curtains closed. Observed laundry room floors need cleaning behind equipment both floors. **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).

Ob/served dirty filters in patient rooms. Dusty vent in 2nd floor laundry.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed loose laminate edging to vanity, shower curtains soiled, loose non-slip adhesives in shower, soiled non-slip mat, and slime build up in bottom shower in rooms 108. Soiled shower curtain room 114. Faucet handle in disrepair in room 132. Soiled toilet, 2nd floor shower room. Beauty salon needs thorough cleaning. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

Observed no backflow preventer at threaded faucet by garbage compactor.**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).

Observed diapers stored on floor in patient rooms.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

Observed clean linens on bag on floor in clean linen room. Blanket fell on floor in clean linen room. Dirty linen barrel touching clean dresses in laundry area. Linens not properly protected in linen 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).

Observed a couple of dusty vents. Some window sashes dusty.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed toilet needs cleaning, 2nd floor bathing room. Both hoppers need cleaning, rings around bowl. Repeat-Noncompliance: No hand sanitizer/hand wash sink in beauty shop.**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). **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 paper towels, 2nd floor bathroom. Observed no soap, med. room.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).

Observed no backflow preventer at threaded faucet by dumpster. (violation was general commented last inspection).**Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).

Observed blankets on closet floor, room 131.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

Observed baby wipes sitting on sharps container, med cart 1st floor.**