98.5/ 100
HUNTERSVILLE OAKS
12019 VERHOEFF DR, Huntersville, NC 28078
Rest/Nursing Homes · NC permit/State ID 2060400114
Latest result98.5 / 100
Last inspectedApr 1, 2026
Inspections on record22
On record sinceAug 14, 2013
Score history
Aug 14, 2013Higher is betterApr 1, 2026
Inspections & violations
Apr 1, 2026 98.5 / 100 · 3 violations
Inspector comments: NOTE:
- Hand sink in housekeeping closet of Garden Terrace needs repair.
- A few toilet looks soiled with black circle ring inside the bowl need detail cleaning and keep clean.
#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 hot water temperature measured at 99F at salon sinks and restroom next to it, 95F - 98F at the gym rehabilitation sinks. Provide tempered water between 105F- 116F at anytime.
#35 · Resident’s personal laundry properly handled; containers properly labeled; combined resident’s laundry properly handled
General Comment:
.1319 (d) Clothing and linens that are provided by a resident for the resident's personal use shall be that resident's personal laundry. Personal laundry that is not clean shall be kept separate from clean clothing and linens using covered containers or bags that are labeled to indicate their contents and kept clean between uses.- Observed soiled clothing in dirty bag of each individual resident in basket of laundry room, the bags have no labeling which bag belongs to who/room number. The facility is washing each resident clothing separately. Ensure to label the bag to identify which bag belong to whom/ or room number for proper cleaning and not mixing laundry in accordance to the institution’s rules.
#38 · Food service equipment and utensils clean, good repair
General Comment:
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed microwave and refrigerator in pantry of Piedmont Lodge/ Forest Hills and Rehabilitation room need cleaning and keep clean.
Oct 22, 2025 99 / 100 · 4 violations
Inspector comments: NOTE:
- Administrative team present during inspection.
#8 · Toilet rooms free of storage, handwash signs posted −0.5
.1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed very soiled wheelchair stored in Garden Terrance Spa. Remove the items and ensure to keep only bathroom related items in bathroom facilities.
#16 · Hot water between 105°F and 116°F
General Comment:
.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 temperature measured at 119F at salon sinks, 117F at the gym rehabilitation restroom sink. Maintenance stated the mixing valve was replaced this morning, and still adjusting to the correct temperature as required between 105F- 116F.
#17 · Back-up water supply plan available and complete
General Comment:
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees.- Observed incomplete water backup supply plan. The facility has a checklist of how to complete the plan from EHS. Please provide a complete water backup supply and have available upon request at anytime.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −0.5
.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 no label on plate of food in refrigerator at Deer Meadow dining hall. Food was from the kitchen facility. Ensure to label all food items with a person name and date that was brought in. Allowed to keep up to 7 days.
Jun 27, 2025 98 / 100 · 2 violations
#7 · Facilities provided, accessible, clean, good repair −1
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 in dining room in all the hall, hand sinks around basin, drain, and faucet surfaces- need detail cleaning and keep clean. Observed soiled around faucet and basin in restroom sink- dining room in Azelea lane and club room in Pinebluff. Keep all sinks clean throughout.
#38 · Food service equipment and utensils clean, good repair −1
REPEAT
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerators and microwaves in dining room/pantry of all hallway need detail cleaning and keep clean.
Dec 18, 2024 98 / 100 · 2 violations
#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 toilet in room 317 in need of cleaning. REPEAT *Points not escalated due to improvement from previous inspection*
#38 · Food service equipment and utensils clean, good repair −1
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed refrigerators and sinks in need of cleaning in activity kitchens. REPEAT
Jun 12, 2024 98 / 100 · 4 violations
Inspector comments: NOTE:
Joey Lively present during inspection.
#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 toilets need better cleaning in Forest Hill 226, 271, Garden Terrace 330, 371, hallway restroom. Keep clean.
#18 · Drinking fountains clean, good repair −0.5
.1314 (a) Drinking fountains shall be kept clean and in good repair.- Observed soiled water fountains in Forest Hill and Garden Terrace. All need detailed cleaning all around surfaces, spouts, and crevices. Keep clean.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair.- Observed debris/dust in cabinets at the kitchenette area need details cleaning and keep clean.
#38 · Food service equipment and utensils clean, good repair −0.5
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled refrigerators in the kitchenette and soiled microwave in pantry need details cleaning and keep clean.
Jul 5, 2023 98.5 / 100 · 3 violations
Inspector comments: NOTE:
Mr. Joey and Ms. Brooks present during inspection.
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be located in an institution in accordance with 10A NCAC 13B .5411, 10A NCAC 13D .3201, 10A NCAC 13F .0305, .1304, and 10A NCAC 13K .1109, .1204, as applicable. Institutions that do not have a handwashing facility located in all areas required by this Paragraph shall not be required to install handwashing facilities if the institution has an approved hand hygiene program. Observed 2 bags of wiping cloths stored in a hand washing sink in Housekeeping closet 200 hallway. Observed a roller cart blocking access to hand washing sink in Housekeeping closet at the Gardenia hall. Ensure to use hand washing sink for hand washing purposes only and provide access to hand sink at all time.
#18 · Drinking fountains clean, good repair
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed black buildup around nozzle of water fountain, need cleaning and keep clean. Observed water fountains throughout the building need to be adjusted, water pressure is too high.
#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. Vomit or Diarrhea poster provided at the time of inspection. Obtain the kit for such an event.
Nov 30, 2022 98.5 / 100 · 2 violations
#8 · Facilities conveniently located, clean and in good repair −1
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed hand washing sink in Soiled utility room located in (Garden Terrace) having heavily water damaged back splash (particle board material) in need of repair / replacing.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
REPEAT
Toilet rooms shall not be used for storage. See rule .1312 (b). Observed boxes of clothing stored directly on flooring inside of bathroom in resident room #251 in need of removal. (Note) half points due to improvement
Oct 13, 2021 95.5 / 100 · 4 violations
Inspector comments: #6 Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d). Observed mildew on shower chair in spa room near 200 hallway. Staff stated spa room was not currently being used. Make sure all shower equipment is cleaned when visibly soiled.
#19 Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed ice machines with minor black buildup and visible condensation on side of machine. Ice machine near 200 hallway had minor leak. Staff stated ice machines were due for cleaning this week. Ensure regular cleaning and maintenance of ice machines.
#34 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 cart with patient contacts items stored on cart. CDI - staff removed items from cart.
#35 Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed wheelchair stored in room 225 with cracked arm rest. CDI - staff removed chair and sent to have arm rest replaced. All patient contact items shall be clean and in good repair.
#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 of room 323. Staff stated a thermometer would be placed in refrigerator. Ensure thermometers are in all refrigerators to monitor temperatures.
#28 Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). Observed storage room in the rehab room with items on the floor. Staff stated room was not used regularly. Ensure all storage rooms are kept clean and patient contact items are kept off of the floor.
#3 · Walls and ceilings cleanable, clean, good repair −2
All walls shall be easily cleanable. 15A NCAC 18A .1310. Observed several ceiling tiles in the facility with minor staining. Ensure all floors, walls and ceilings are clean and in good repair. Staff stated tiles be will e replaced after scheduled maintenance of plumbing lines. Observed room 357 with damaged wall. Minor scuffed walls throughout facility.
#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 bathroom in rehab, ALD room with portable toilets stored in bathtub. Unused equipment should be placed in designated storage areas. Observed shower being used as storage in room 323. Toilet rooms shall not be used as storage.
#14 · Disinfectant accessible, properly used −1
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed spa room near 200 wing with no disinfectant. disinfectant needs to be accessible to all bathing areas.
#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 sheet in room 357. Observed torn pillows in room 323. CDI PIC removed pillows and will placed new pillows in resident room 323.
May 5, 2021 96 / 100 · 2 violations
Inspector comments: NO POINTS DEDUCTED
(9)
Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheel chairs stored inside restroom of resident room #363.
(17)
Water fountains clean and in good repair; Observed bio-film build-up on mouth pieces of water fountains near rehab-gym and inside Forest Hills.
(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 misc debris stored underneath bottom drawers of dressers in all resident rooms in need of general cleaning. #251Bed mat observed ripped and stained.
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water damaged ceiling tiles inside storage and maintenance closets in need of repair / replacing.
#14 · Disinfectant accessible, properly used −2
REPEAT
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant available inside spa's during inspection.
Dec 11, 2020 97 / 100 · 3 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed water damaged ceiling tiles throughout in need of replacing.
#11 · Hand sinks used only for intended purpose −1
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing and accessible. 15A NCAC 18A .1312 (d). Observed maintenance carts stored inside maintenance closets blocking hand washing sinks. (remove to a approved area); Observed misc storage stored inside hand washing sinks inside maintenance closets in need of removal.
#14 · Disinfectant accessible, properly used −1
REPEAT
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed disinfectant missing from SPA (even if not in use keep stocked).
Dec 18, 2019 94.5 / 100 · 5 violations
Inspector comments: NO POINTS DEDUCTED
#3
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall damage inside resident room #472; Observed wall paper peeling in resident rooms throughout.
#15
Ensure back flow preventor is installed in areas that require; Observed no back flow preventor inside resident room #209.
#30
Ensure that sharps containers are affixed to med carts; Observed all sharps containers stored not affixed to carts (sitting on top).
#36
Maintain food contact surfaces / equipment clean and in good repair. Observed coffee machine nozzles in need of cleaning throughout all pantry rooms; Observed refrigerators inside all kitchenette areas soiled in need of cleaning.
#39
Proper date marking of food products; Observed salads made in main kitchen and held in kitchenette areas without proper date marking.
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed flooring in need of cleaning in all supply rooms; (collecting underneath shelving and behind doors, and in corners)
#8 · Facilities conveniently located, clean and in good repair −1
REPEAT
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed soiled / dirty toilets inside resident rooms #527, #520; Observed soiled toilet in hallway lavatory in (Garden Terrace). Observed pink build up on shower curtain inside resident room #219 (points not increased due to improvement)
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Keep handwashing signs posted in all staff restrooms. 15A NCAC 18A .1312 (b). Observed hand washing signs not posted at kitchenettes throughout.
Toilet rooms shall not be used for storage. See rule .1312 (b). Observed storage inside SPA's throughout in need of removal.
#14 · Disinfectant accessible, properly used −1
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant available within SPA's throughout.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
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 scuffed furniture inside resident room #472; Observed pillows (not cases) torn in need of replacing in several resident rooms #252, #262; Observed numerous stains on furniture in common areas throughout. Observed misc trash collecting underneath dresser drawers inside resident rooms #506, #520.
Jun 19, 2019 96 / 100 · 4 violations
Inspector comments: #5-Ambient air temperatures shall be maintained in the range of 65°F to 85°F. 15A NCAC 18A .1311 (c). Observed room 417 with air temp of 88F temp blowing at 93F.
#9-Toilet rooms shall not be used for storage. See rule .1312 (b). Observed salon bathroom used as storage, shower chair stored in spa tub in garden terrace
#14-A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant in spa room in catawba cove
#30-Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed 2 medicarts with damage shelves, one medicart with debris and loose pills on the inside, one had stuff behind shelves, one had loose pills on the top accessible to patients
#33-Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed bedsheet in rm 372 and hole in pillow in rm 261, stains on bed protector in rm 510, wheelchair in clubroom in piedmont area with trash inside the back bag
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall in rm 261 scuffed, cabinet pantry loose-Forest Hills, rm 329 damaged shelf, Garden Terrace-clean linen closet holes in wall, chipped paint near rm 309, ceiling cracked near housekeeping in Piedmont, rm 524 cracked ceiling/wall, holes in wall across from rm 455
#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 shower head in rm 510 leaking, shower chair dirty in rm 524, spa room in catawba cove had a chair with apolhostery and stained, spa room in garden terrace (across from rm 354)with soiled shower chair and shower chair stored in tub, rm 372 soiled shower chair
#19 · Ice protected, dispensed, equipment clean in good repair −1
Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed ice machine with pink mildew in pantry in mountainview kitchen
#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 stained chairs in lounge area in Lakeview inn, in Catawba cove in kitchen/gathering area, stains on chair in kitchen area across from room 468, physical therapy room with stained chair, food under chairs in Piedmont area lounge, table stands in rm 510 with water stains and the room across,
Dec 18, 2018 97 / 100 · 3 violations
Inspector comments: NO POINTS DEDUCTED
#11
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). observed card board boxes stored on top of hand washing sinks in House Keeping closets blocking access.
#21
The rooms, enclosures, designated areas, and containers shall be adequate for the storage of all solid wastes accumulating on the premises. 15A NCAC 18A .1316 (c). Observed solid waste/card board container having broken lids in need of repair / replacing.
#40
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). Observed random employee drinks stored in House Keeping closet shelving in LakeView community.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed scuffed walls in resident rooms #410, #264 and laundry rooms in need of touch-up painting.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed mouth guards on water fountains soiled in need of cleaning.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed large amounts of debris collected underneath the bottom drawer of all med carts.
(observed 3 med carts in need of replacing with corners damaged/broken held together with tape; Mountain View, Forest Hill, Garden Terrace)
Jun 26, 2018 93.5 / 100 · 5 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#2 - Observed stained carpet by bed of room 417.
#17 - Observed water fountains in main hallway with build-up around the nozzle.
#30 - Observed med cart drawers with dust build-up and debris in need of cleaning. Observed pill crushers in need of cleaning on a few med carts.
#36 - Observed nurse state that water pitchers on med carts are cleaned with soap and water everyday and are sanitized every two days. Ensure water pitchers are washed, rinsed, and sanitized daily.
#8 · Facilities conveniently located, clean and in good repair −2
REPEAT Observed shower heads in need of cleaning in rooms 572 and 229. Observed cleaning needed on the base of the toilet in rooms 417, 358, and 268. Observed soiled toilet chair in room 417 and soiled shower chair in room 268.
**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 Observed briefs being stored on the floor in the closet of Forest Hills spa. Observed bag of linen on the floor in the clean linen closet of garden terrace hallway.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
REPEAT Observed dressers with scuffing toward the bottom throughout rooms. Observed cleaning needed on the inside of bedside rails where there is build-up of food and debris. Observed ripped plastic pillow in room 252. Observed mattresses with debris in rooms 417, 358, and 329. Ensure mattresses are being cleaned and wiped when visibly soiled when bottom sheets are changed.
**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −2
REPEAT Observed stained sheet in room 525, pillow case with soil in 417 and 358, heavily soiled sheets in room 252. Observed mattress pad with stain in room 466. All beds had been made up for the day by staff except room 525. Ensure soiled and stained is being removed when visibly soiled.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
REPEAT Observed gaskets in need of cleaning in the laundry rooms of Garden Terrace and Forest Hills.
**Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).
Dec 27, 2017 94.5 / 100 · 5 violations
Inspector comments: 3) Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed touch up paint needed throughout maple knoll, pine bluff, gardenia, and azaelea neighborhoods. Observed storage room in pinebluff neighborhood in need of baseboard on part of wall.
10) Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). Observed bed pan unlabeled in room 471.
17) Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed drinking fountain in maple knoll to have a low pressure. Observed water fountain in deer meadow to have a dirty spout. REPEAT VIOLATION SIGNIFICANT IMPROVEMENT FROM PREVIOUS INSPECTION
30) Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). Observed med cups stored on med cart with lips unprotected in gardenia neighborhood.
Inspection was completed by both Alexandra Hall, REHS and Savannah Parker, REHS.
#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). Through discussion, tubs in spas are being cleaned with "orange top" bleach wipes and with oxycide. Tubs must be cleaned and disinfected according to manufacturer's instructions. Many have self circulating disinfectant that is not being used by facility. Observed shower chairs in rooms 312 and 329A in need of cleaning. Observed shower heads in rooms 223 and 252 with pink build up. REPEAT VIOLATION
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed leaking toilet in hall restroom on lake norman way.
#28 · Adequate storage, area clean, items properly stored −0.5
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed toileting items stored on floor of pine bluff spa.
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 drawer in pantry closet in need of cleaning in Piedmont. Observed drawer in laundry room of deer meadow in need of cleaning. REPEAT VIOLATION
#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 dressers throughout facility to have significant scuffing and damage. Observed torn pillows in room 223, and 329A. Observed dirty pillow in room 527. Observed debris in bed of room 223. Bed was made up with debris in it. Observed wheel chair seat in bathroom 457 in need of cleaning. Observed curtain in mountain view dining room with food spatter. Observed recliner stored in spa of piedmont lodge. Observed unknown stain on mattress in 416. REPEAT VIOLATION
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed cart in gardenia and pinebluff neighbor hoods for soiled linen unlabeled.
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 sheet in room 473. Observed stained blanket in pine bluff neighborhood. REPEAT VIOLATION SIGNIFICANT IMPROVEMENT FROM LAST INSPECTION
#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 washing machine gaskets in need of routine cleaning in all neighborhoods. Gaskets had gray build up as well as personal affects from residents.
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 one piece of clean linen on the floor in pinebluff neighborhood. CDI: Linen removed to soiled area. Observed clean linen being stored comingled on bathing carts in lift storage room in Gardenia neighborhood. Observed clean linen stored in drawer with laundry items in room 463.
Apr 10, 2017 93.5 / 100 · 6 violations
Inspector comments: . General Comments - 0 points
#3 - Observed that drop ceiling of central storage room was removed and that items below were not protected from sprinkler pipes.
#43 - Observed a personal refrigerator with no thermometer in room 217
#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 undersides of shower chairs in bathrooms and spas throughout facility with residue in need of cleaning. REPEAT.
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed handsinks in most chemical dispensing rooms blocked by housekeeping carts when carts are not in use.
#14 · Disinfectant accessible, properly used −1
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed that none of the spa rooms were supplied with disinfectant throughout facility.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed that water fountains throughout facility were either angled too high or low, resulting in water spilling into the floor or making fountain difficult to drink from.
#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 various medical supplies stored under sinks in med rooms throughout facility and in wellness center in main 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 shelf lining stored within splash zone of handsink in Forest Hills med room. Observed wheelchairs and other items such as broken chairs, shelving and gym equipment stored in resident restrooms and in spa rooms throughout facility.
#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 all couches in common areas in facility with trash and food debris under couch cushions and some chairs with staining as well.
#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 mattresses in rooms 236, 264, 364, and 366, as well as ripped pillows in rooms 264, 269, and 366.
Jun 30, 2016 94 / 100 · 4 violations
Inspector comments: No deductions for the following violations:
3. Observed residue on wall in room 311.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
17. Observed residue collecting on water fountain Azalea Lane.
Drinking fountains shall be of sanitary angle-jet design. 15A NCAC 18A .1314 (a). Improvement previous inspection.
32. Observed stained cushion in 358, Gardenia Row.
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 −2
Repeat non-compliance: Observed shower chair soiled in 311, soiled toilet seat in 272. Observed chair stored in Gardenia Row spa.
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).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed ice bins accessible to resident in Pine Bluff, and Maple Knoll.
All ice machines and storage chests which are accessible to the residents and the public shall be automatic ice dispensing machines. 15A NCAC 18A .1313 (b).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed linen in trash can, uncovered in 258.
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).
#36 · Approved utensils and equipment, cleaned and sanitized −2
Repeat non-complaince: Observed residue collecting on bottom of refrigerator in pine bluff. Observed ice in bottom of freezer collecting residue. Observed cups wet stacked and pitchers drying on rag in Lake Norman Way. Observed residue on cabinet shelf in Maple Knoll, Observed refrigerator shelf collecting residue in Maple Knoll.
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).
Oct 22, 2015 93.5 / 100 · 5 violations
Inspector comments: 11. Observed stains in pantry in hand sink Lake View.Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d).16. Observed backup water supply requiring update, premixed disinfectants are not on site.Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).33. Observed stained blanket and pillowcase in one resdient room. Observed one soiled utility cart not labled.Properly label all soiled linen carts. Change linens when soiled.42. Observed Azalea Lane kitchen with food in domestic refrigerator removed from temperature control at 12:00 pm. Caregiver stated that food would be served at 2:30 for the resident.Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)
#8 · Facilities conveniently located, clean and in good repair −2
Repeat non-complaince: Observed toilet chair/shower chair collecting residue in 223Keep 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).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observe no paper towel at hand ink in Gardenia Row.All lavatories shall be supplied with hot and cold running water through a mixing faucet, or with tempered warm water. 15A NCAC 18A .1312 (d).
#17 · Water fountains clean, good repair, properly regulated −1
Observed one damaged and dirty water fountain head on 300 hall.Drinking fountains shall be of sanitary angle-jet design. 15A NCAC 18A .1314 (a).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed medication carts throughout collecting residue in drawers around bins at bottom of drawer.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Repeat non-compliance: Observed residue collecting in several refrigerators. Observed dust collecting on top of refrigerators in several kitchens. 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).
Feb 6, 2015 93.5 / 100 · 6 violations
Inspector comments: 1. Observed the shower floor in room 363 not sloped enough to drain.All floors subject to flood-type cleaning shall be of non absorbent materials, shall be sloped to drain and provided with floor drains. 15A NCAC 18A .1309 (b).17. Observed some build up on the mouth piece of the water fountain on lake norman hall.Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).18. Observed one pitcher not labeled correctly in room 268. Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a).32. Observed stains on chairs in residents rooms throughout the facility.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 a stain in the sheet in room 268.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).36. Observed microwave collecting residue in Gardenia row and Azalea Lane.All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. 15A NCAC 18A .1320 (c).Inspection completed by Lauren Piemonte, REHSI under supervision of Christopher Sells, REHS. Ms. Bunita Frindt present during inspection.
#8 · Facilities conveniently located, clean and in good repair −2
Observed some cleaning needed under the toilet chair in 215.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 −0.5
Observed bed pans in rooms 366 and 268 without a name and date.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#31 · Feeding syringes and oral suction catheters handled properly, tube-feeding bags changed per instructions −1
Observed a feeding tube syringe in a bag labeled 2/3/2015. The syringe was drying while put together, but needs to air dry disassembled.Feeding syringes which are reused shall be labeled with the patient's name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use. 15A NCAC 18A .1318 (d).
#40 · Food brought by employees or visitors handled properly −0.5
Observed yogurt in the pantry of gardenia row refrigerator without a name or date.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).
#42 · Food protected. Potentially hazardous food maintained at 45 F or below, or 140 F for above, consumed or discarded within 2 hours of being removed from temperature control −2
Observed a spoiled egg salad sandwich in room 325 in a mini fridge that was 50F. Keep at 45F or below.All perishable foods shall be stored at temperatures which will protect against spoilage. See rule .1323 (a).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed a broken thermometer in the kitchen on hall azalea lane.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Dec 3, 2014 95 / 100 · 4 violations
Inspector comments: 10. Observed bed pan not labeled in 228, 366Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). 14. Custodians stated improper contact times for disinfectant process for toilets and bathtubs.A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).18. Observed water pitches not labeled properly in 265, 366,Label all disposable water pitchers with the resident’s/patient’s first name and last name. 15A NCAC 18A .1314 (a).19. Observed ice machine collecting residue on chute.Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).42. Observed food on counterop after service. Caregiver stated that food is allowed to sit on counter for 15 minutes then placed in the refrigerator with glass lid covering food to be left in the refrigerator until resident is prepared to eat the food, up to the end of the day. Current process has no requirement for caregivers to take the temperature of the food to ensure that it is meeting the proper cooling parameters outlined in the /2600 rules. Recommend that the facility check the food on the warmer. If food is maintaining over 140 degrees F the food can stay hot holding until resident is ready for the food. Or, the facility can hold the food not on temperature for up to 2 hours then discard.All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)
#2 · Floors clean, carpet clean, dry, odor free −1
Observed linen on floor in hall closets throughout facility.Improvement from previous inspection.Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −2
Repeat non-compliance: Observed shower chairs throughout facility collecting residue on underside.Observed soiled clothing in room 472 hanging on top of shower chair.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed med carts collecting residue in third drawer throughout facility.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Repeat non-compliance: Observed food reside collecting on shelves in pantry rooms. Observed debris collecting on top of refrigerators in satellite kitchens. Improvement from previous inspection. 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).
Apr 11, 2014 93 / 100 · 6 violations
Inspector comments: 3. Observed walls damaged in 325 and 425 and in satellite kitchen areas.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.32. Observed debris in under cushions in resident rooms throughout under window.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).43. Observed damaged thermometer in catawba cove side by side refrigerator.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).Ms. Rosalind Taylor, Ms. Susan Ebbs and Mr. Bob Rusley present during inspection.Ms. Melissa McGinnis received inspection.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed debris on floor in linen closets throughout facility. Observed storage on floor in satellite kitchen in deer meadow. Observed debris on floors in several activity closets. Observed linen on floor to leak in pantry lake view. Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −1
Repeat non-compliance: Observed dirty toilet chairs throughout inspection. Improvement from previous inspection.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).
#17 · Water fountains clean, good repair, properly regulated −1
Repeat non-compliance: Observed one dirty water fountain in b pod. Improvement from previous inspection.Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed single use cups on medication stored uncovered.Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed dirty linen on beds in 425, 457 and in room on lake norman way. Observed linen carts not labeled soiled linen in several soiled utility rooms.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).
#36 · Approved utensils and equipment, cleaned and sanitized −2
Repeat non-compliance: Observed refrigerator shelves in satellite kitchens collecting reside, top of satellite refrigerators collecting dust. Observed utensils air drying on towels.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).
Aug 14, 2013 96 / 100 · 3 violations
Inspector comments: 2. Observed med rooms throughout facility collecting debris on floor.**Keep all floors clean.3. Observed wall damage in resident rooms and dining areas throughout facility.**Keep all walls in good repair.19. Observed ice bucked unattended in nourishment area behind white chains.**All ice machines and storage chests which are accessible to the residents and the public shall be automatic ice dispensing machines, or kept behind lock and key. See rule .1313 (b).32. Observed damaged mattress in room 358. Observed damaged mattress used for fall prevention in resident room.**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. See rule .1319 (a).Ms. Bunita Frindt present during inspection.
#8 · Facilities conveniently located, clean and in good repair −1
Observed dirty toilet chairs, toilet seats, soiled underside of toilets, caulk stained/collecting residue, and shower heads collecting residue in restrooms throughout facility.**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).
#17 · Water fountains clean, good repair, properly regulated −1
Observed water fountains collecting residue throughout facility. **Drinking fountains shall be kept clean and properly regulated. See rule .1314 (a).
#36 · Approved utensils and equipment, cleaned and sanitized −2
Observed interior of refrigerator collecting debris in lake norman nourishment. Observed several refrigerators collecting buildup under crisper drawers. Observed top of refrigerators in several nourishment areas collecting dust and debris. Observed interior of staff refrigerators with sheet or paper towels in lake Norman way and mountain view. Observed residue collecting behind 2 compartment sinks in several nourishment areas. **All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardous foods shall be cleaned and sanitized prior to each use. See rule .1320 (c).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “HUNTERSVILLE OAKS” or State ID 2060400114). Inspection type (routine vs. follow-up) is not published in the county's data.