99/ 100
BROOKDALE SOUTH CHARLOTTE
5515 REA RD, Charlotte, NC 28226
Rest/Nursing Homes · NC permit/State ID 2060400122
Latest result99 / 100
Last inspectedJun 1, 2026
Inspections on record25
On record sinceDec 4, 2013
Score history
Dec 4, 2013Higher is betterJun 1, 2026
Inspections & violations
Jun 1, 2026 99 / 100 · 1 violation
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −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 carpets stained in room 310, 219, and 316. Needs cleaning.
Sep 22, 2025 99 / 100 · 2 violations
#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 stained ceiling tiles in service hallway and stained ceiling in 106. Needs repair.
#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 build up on shower floor in shower room and shower chair in memory care shower room and some minor build up in hopper in soiled utility. Needs cleaning.
Apr 3, 2025 98 / 100 · 3 violations
Inspector comments: *NOTE: Head of Maintenance. David Garcia, was present during time of inspection. Report emailed to:
Dgarcia4@BROOKDALE.COM
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −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 staining on carpet in rooms 213 and 322. 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 pillow with staining in memory care unit room 111. Clean. Observed dorm refrigerator shelving with build up in room 213. Clean.
-General comment.
#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 debris build up under clear pullout drawers in memory care domestic refrigerator. REPEAT VIOLATION.
Oct 1, 2024 97.5 / 100 · 5 violations
Inspector comments: *NOTE: Maintenance Manager, Brain Price, was present during time of inspection. Report emailed to the following:
BriPri2@brookdale.com
TNEELY8@BROOKDALE.COM
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −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 floor tile peeling around washing machine in main laundry room. Observed baseboard peeling around lower walling behind toilet in room 219. Observed carpet staining in the following rooms: 217. 219, and 320.
#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 loose toilet seat in rooms 219 and 320. Observed lower portion of shower curtain liner with black build up in memory care shared shower room.
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Facility has incomplete back up water supply plan. EHS emailed head of maintenance and director a guidance template to complete back up water supply plan.
#26 · Premises properly maintained
.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 minor debris surrounding dumpster area.
#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 refrigerator in memory care serving kitchen with liquid build up within pullout drawer. Observed freezer portion of that same unit not operating.
Feb 7, 2024 99 / 100 · 4 violations
Inspector comments: *NOTE: Head of Maintenance, Shaun Covington, was present during time of inspection. Report emailed to Administrator, Tara Neely at the following: TNEELY8@BROOKDALE.COM
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed minor touch up paint needed to railings and walling throughout facility.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed minor build up under toilet lid in room 321.
#26 · Premises properly maintained
.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 1 chair stored outside of dumpster area. Improvement made from previous inspection report.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated
.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 1 container of food not labeled in memory care kitchen refrigerator.
Aug 16, 2023 97.5 / 100 · 7 violations
Inspector comments: *NOTE: Head of Maintenance, Shaun Covington, was present during time of inspection. Report emailed to: Admin, Tara Neely at:
TNEELY8@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 loose toilet seat in room 215 and memory care unit room 110. Observed loose toilet seat in room 201 and staining in toilet.
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back up water supply plan. EHS emailed executive director guidance template for back up water supply plan.
#23 · Solid waste containers properly constructed, covered where required; good repair
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed sliding doors to dumpster opened during time of inspection.
#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 and debris within dumpster area.
#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 cleaning needed to shelving of refrigerator and freezer in memory cares activity kitchen.
#45 · Hot and cold holding equipment provided; thermometers provided, accurate
.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 thermometer in memory care activity kitchen refrigerator. Employee supplied thermometer to refrigerator during time of inspection.
#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. Observed no plan or all required materials for notated rule. EHS emailed executive director required document.
Dec 12, 2022 99 / 100 · 1 violation
Inspector comments: No points deducted: #1- Observed red stain on carpet across from room 205. #33-Observed stained sheet in room 220. NOTE: 3rd floor is on covid restrictions. Not inspected at this time.
#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 stains on toilet in rooms 217 and 212. Observed stain on shower floor in 212.
May 19, 2022 98 / 100 · 2 violations
Inspector comments: No points deducted:
#3: Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed mild wear and tear throughout the premises.
#5: Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed multiple AC vents pulled slightly away from the wall. Realign vents and screw flush to the surface of the walls.
#21: 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 side doors open on one dumpster on the premises. CDI - Dumpster doors were closed prior to returning to the facility.
#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 some cracking in the 2nd floor spa room shower floor. No escalation in point deduction; observed improvements from previous inspection.
#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 staining in the memory care nourishment kitchen refrigerator. No escalation in points deducted; noted improvement since previous inspection.
Nov 3, 2021 97 / 100 · 3 violations
Inspector comments: No points deducted: #35--Observed resident clean clothes stored/hanging in shower. Please stored clothes in a manner that prevents contamination.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed stained carpet in rooms 112 and 301.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −1
Observed stains in spa tub in MC unit. No escalation in points. Observed improvements.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed stains in refrigerator in room 112.
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).
Jun 3, 2021 98.5 / 100 · 2 violations
Inspector comments: General comment #24; All openings to the outer air shall be protected against the entrance of flies and other flying insects by self closing doors, closed windows, 16-mesh or finer screening, controlled air currents, or other effective means. 15A NCAC 18A .1317 (a). Observed large mesh openings to outside behind laundry dryer in main laundry room. Replace mesh to meet the above mentioned requirement.
General comment #19 15A NCAC 18A. 1313(f) - Water supply plan-All statement to water plan that states, "if water is loss for greater than 4 hours, staff will contact Mecklenburg County Health Department and building licensing agency (or similar language)."
#8 · Facilities conveniently located, clean and in good repair −1
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed blocked hand sink in soiled room near floor #1 dining area. CDI-remove items in front of hand sink and keep all hand sinks accessible at all times.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed soiled bathroom chair on first floor and second floor shower room as well as room #110. Clean or replace all soiled bathroom chairs.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed rusted toilet chair in room #110. Repair or replace all rusted toilet chairs.
#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 single-use gloves on floor of storage room on floor 2. Observed biohazard bags on floor of storage room on floor 2. Keep all patient care items at least 8 inches above the floor at all times.
Dec 10, 2020 97 / 100 · 2 violations
Inspector comments: No points deducted: #9--Scale stored in spa room in memory unit. #35--Observed boxes of diapers in floor in storage closet near 219. Covid 19 restrictions, no signature required.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed carpet stained in 306, 316, 319, and MC 106.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
Observed rip on brown chair near room 323 and rips/tears on multi colored chair in hall on 2nd floor.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
Jan 22, 2020 97 / 100 · 3 violations
Inspector comments: Keep handwashing signs posted in all staff restrooms. 15A NCAC 18A .1312 (b). Observed no handwashing sign in hall toilet on 3rd floor. Maintenance replaced handwashing signs.
#8 · Facilities conveniently located, clean and in good repair −1
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Clean around base of the toilet in room 318 and hall toilet on 3rd floor.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed stains from possible spill in chair under cushion on 3rd floor. Observed soiled pillows in both bedrooms in room 110.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −1
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed soiled top cover and food on bed linen in room 320. Observed food crumbs on bed linen in room (B) 110.
Jul 15, 2019 96 / 100 · 4 violations
Inspector comments: #2 - Floors clean, carpet clean, dry, odor free. Observed soiled carpet in room 216; shall be maintained clean, dry and odor free.
#3 - Walls and ceilings cleanable, clean good repair. Touch up wall with paint and replace door stop behind door in common area toilet.
#21 - Solid wastes stored properly, areas clean, facilities for cleaning. Pick up old damaged furniture around dumpster area; keep dumpster closed.
#30 - Medication carts clean, sharps containers affixed, food and utensils handled properly. Clean dust particles and debris around the exterior base of all of the medication carts.
#32 - Furniture clean and in good repair. Clean residue on padding on hospice patient's geriatric chair and area under padding on wheel chair.
#8 · Facilities conveniently located, clean and in good repair −2
Shared bathing equipment that has contact with patient's skin shall be cleaned with detergent and EPA registered hospital between patient uses. Observed stained shower curtain in room #309 and 2nd floor shower room. Keep toilet equipment clean and good repair. Observed soiled toilet seat in room 109. Replace stained toilet seat in resident's room.
#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 geriatric chair and clean linen bin in bathroom and common shower. CDI
#28 · Adequate storage, area clean, items properly stored −1
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed patient personal storage (i.e., pillow & diapers) in the floor in closet. Repeat
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Shared toys subject to mouthing shall be washed and rinsed with soap and water and disinfected with 70 percent alcohol or 100 ppm chlorine after each day's use. 15A NCAC 18A .1319 (c). Observed soiled dolls in the common area within the memory care unit.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Repair ripped padding on patient's weighted scale chair.
Jan 17, 2019 93.5 / 100 · 5 violations
Inspector comments: No Points Deducted:
#3 Keep all walls and ceilings clean and in good repair. See rule .1310. Observed wall damage in resident room 103. Observed paint peeling on wall located by window in resident room 218. Observed stained ceiling in resident room 104B.
#11 Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. Provide an additional utility sink for servicing equipment. See rule .1312 (d). Observed handsink in activity area for memory care unit being used to store dirty dishes. Use bus tub or other container to stack, store and transported dirty dishes.
#14 A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. See rule .1312 (f). Observed shower room in memory care unit without cleaning detergent and an EPA registered hospital disinfectant. Both shall be kept in shower room at all times.
#36 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. See rule .1320 (c). Observed microwave and coffee maker located in activity kitchen in memory care unit.
#34 Laundry areas and equipment shall be kept clean and in good repair. See rule .1319 (b) and .1312 (a). Observed evidence of leak coming from washer in resident washing room. PIC stated he would look into repairing washer leak.
Observed build up around doors on washers in 2nd and 3rd floor laundry rooms.
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). Documentation required, per maintenance report that linens are being properly sanitized at minimum of 50ppm chlorine OR washed at 160F for a minimum of 25 minutes.
Inspected and typed by Madeline Rawson, REHS #2775
#8 · Facilities conveniently located, clean and in good repair −2
REPEAT:
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet and toilet seats in need of cleaning in resident rooms 218 and 320. Observed hopper located in Soiled Linen area with build up around bowl.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower chairs located in shower room (memory care) and shared resident bathroom for 103 and 104B. Observed stained shower curtains in resident rooms 306 and shared resident bathroom for 103 and 104B.
#28 · Adequate storage, area clean, items properly stored −1
REPEAT: All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed briefs stored on floor in resident room 218. Observed pillows stored on floor in Clean Linen room.
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 mattresses stored in custodial closet with operable mop sink. Store mattresses in a clean storage area.
#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 stained chair cushions in a majority of common areas throughout the facility. Observed stained mattress in resident room 104B. Observed ripped padding on weigh station located in common room.
#33 · Linen changed when soiled. Soiled linen handled properly −1
REPEAT: Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained bedding in resident rooms 306, 320, and 202. Observed ripped pillows in resident rooms 104B and 218.
#43 · Food storage units with thermometers, maintain temperatures −0.5
REPEAT: All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed resident refrigerators without thermometers in rooms 202 and 306.
Aug 1, 2018 96 / 100 · 3 violations
Inspector comments: No points were taken for the following:
33. Observed pillow with brown staining in room 223. Pillow was removed by staff.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
43. Observed one refrigerator in room 214 that was missing a thermometer. Thermometer was added to refrigerator.
**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#8 · Facilities conveniently located, clean and in good repair −2
Observed shower chair with black build up on legs in room 322 and shower chair with black/pink build up on underside in room 223. Needs to be cleaned. Observed shower curtain with black build up at the bottom in room 309.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed toilet with brown staining in room 214. Needs to be cleaned.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#28 · Adequate storage, area clean, items properly stored −1
Observed disposable articles stored on the floor in the storage closet on the third floor. Observed disposable under garments stored on the floor in rooms 102 and 109. Spoke with staff about ensuring that items are placed above the floor such as on shelving.
**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
Observed debris underneath the cushions of the sofas in memory care. Needs to be cleaned.
**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).
Mar 7, 2018 95.5 / 100 · 4 violations
Inspector comments: No points deducted: #32--Observed stain on mattress in second room near entrance of Clearbridge.
#1--Observed floor peeling around washer in laundry room.
#33--Observed stain on sheet in 2nd room near entrance in Clearbridge and stain pillowcase in room 324.
#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 damage at baseboard outside of housekeeping room on first floor. Observed stained ceiling tile outside of employee restroom near laundry room. Observed wall damage near door at room 315 and at elevator on 2nd floor. Observed stained ceilings near bird cage, room 210, and various areas in Clearbridge.
#8 · Facilities conveniently located, clean and in good repair −2
Observed stain on toilet chair in room 309 and pink build up on shower curtain(bottom).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed boxes of to go cups stored on floor in in housekeeping closet near room 321.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed pill crusher with debris build up on med cart in Clearbridge.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
Aug 22, 2017 93.5 / 100 · 7 violations
Inspector comments: NO POINTS:
# 33: Observed soiled decorative towel in shower room. Keep clean.
#12: Observed dead battery in 1 paper towel dispenser.
#35: Observed holes in sheet, room 110. Keep linens in good repair.
#22: Observed dumpster doors open. Keep closed.
#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).
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 hopper in soiled utility needing cleaning. Hand sink dirty in med room. Two loose toilet seats. Showers need more thorough cleaning including areas that are not used. Bottom sides of toilet chairs need cleaning. Observed low water pressure at some sinks.
Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Observed blocked hand sink in memory care soiled utility.
#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. 15A NCAC 18A .1312 (d).
Observed OJ and dirty plates in hand sink in memory care kitchen. Sink is for handwashing only.
#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).
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 cabinets and drawers in memory care kitchen need cleaning of spills. Observed storage on floor in a couple closets in hallways.
#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 med cart on first floor with spills and debris in drawers.
#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 trash, crumbs, stains under and on cushions in common furniture throughout.
#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 2 refrigerators without thermometers. All refrigerators need thermometers including in resident rooms.
#44 · Food stored above floor −0.5
Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in such a manner as to be protected from splash or other contamination. 15A NCAC 18A .1323 (c). Observed emergency water stored on floor in store room.
Mar 29, 2017 96 / 100 · 3 violations
Inspector comments: Escorted by David.
No points deducted: #5--Observed dusty vents in resident laundry (3rd) and in restroom near beauty salon.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage in memory care dining area, in soiled utility room near paper towel dispenser, and at baseboard in laundry area.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
Observed stains on toilet seat in room 325, 303, and 225. Observed stained shower curtains in room 212. Clean hopper in memory care.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained sheets and pillowcase in room 317 and 325. Observed stained comforters in rooms 306, 218 and stained mattress pad in 218.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Dec 8, 2016 97.5 / 100 · 3 violations
Inspector comments: No points deducted: Observed stained pillowcase and sheets in room 230. Observed burned out lights therapy room.
#8 · Facilities conveniently located, clean and in good repair −1
Observed soiled toilet and toilet seat in room 203. Observed hopper soiled in Clearbridge area.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed rust in microwave in therapy room.
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).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Refrigerators must have thermometers in rooms.
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Apr 13, 2016 97 / 100 · 4 violations
Inspector comments: Mike Hudson and Laura Lewis were present during the inspection
NO POINT DEDUCTION:
28. Observed a box of single service bowls were stored on the floor. **Keep all furnishing in good repair
34. Observed commercial washer maintenace reports does not document chlorine level. **Provide documentation from ECO Lab that chlorine concentration is at least 50ppm.
**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).
#8 · Facilities conveniently located, clean and in good repair −1
Observed the shower chairs were not clean in rooms 303 and 110; the hopper was not clean in the 1st floor soiled utility room; and the sink was not clean and had debris in the wellness center. Observed the backsplash laminate was separating in 303 kitchenette area. **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 hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant for the shower or whirlpool tub in the community shower/tub room on the 2nd floor. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed some utensils in the beauty shop (clippers, hair clips) with hair in them, and the service chair with build-up of hair.
**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed missing thermometers in 3 of 5 facility supplied refrigerators.
**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Nov 24, 2015 96 / 100 · 3 violations
Inspector comments: 5... 15NCAC 18A .1310 Ventilation equipment shall be kept clean and in good repair. Observed dusty ventilation filters in residential laundry room on the 3rd floor.
#3 · Walls and ceilings cleanable, clean, good repair −2
15NCAC 18A .1310 Keep all walls clean and in good repair. Observed two rooms with wall damage. One room was in the soiled linen room in the first floor and the other was in the storage room in the second floor. REPEAT.
#8 · Facilities conveniently located, clean and in good repair −1
15NCAC 18A .1312 Toilets shall be kept clean and in good repair. Observed several loose toilet seats in the first floor as well as the second. Observed a soiled toilet seat in room # 303
#33 · Linen changed when soiled. Soiled linen handled properly −1
15NCAC 18A .1319 Clean bed linen shall be provided and changed when soiled. Observed several soiled bed linens and pillowcases in resident's rooms. Soiled pillowcases were found in room # 203 and 216
May 28, 2015 95.5 / 100 · 4 violations
Inspector comments: General. Comment: #4. Observed blown light bulbs in light fixtures above vanity in several rooms. Replace blown light bulbs in light fixtures.**All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). #5. Observed light dust on ventilation covers in public bathrooms and in some residents bathrooms. Thoroughly clean vent covers.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). #32. Observed some spots/stains on three chairs throughout facility. Thoroughly clean spots/stains on 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 thermometers missing from several facility refrigeration units used in assistant living rooms. Provide thermometer in refrigeration units provided by the facility. Mike Hudson present at time of inspection.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Observed loose edges of linoleum in sitting area within memory care unit. Replace missing shoe moulding in common sitting area within memory care unit. Monitor and repair loose edge of linoleum in front of showers in bathrooms within residents room. Observed some spots on carpet in sitting area. Clean stains from carpet. Tightly secure loose rubber transitional floor moulding in sitting area in memory care unit. Clean floor behind washer machine in resident laundry room on third floor.Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a).
#3 · Walls and ceilings cleanable, clean, good repair −1
Touch-up paint wall throughout memory care unit(hallway, sitting area and resident rooms). Touch-up paint wall in hallway and resident room in assistant living section of facility. Monitor water spots on ceiling in activity room and 218 and repair any leaks if needed. Repair wall in laundry room and repaint.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed paper towels missing from(1) bathroom hand washing sink within resident room in memory care unit. Paper towels were available at hand washing sink upon entering room. Observed paper towels missing from several hand washing sink in bathrooms within resident room in assistant living section of facility. Provide soap and paper towels at all hand washing sinks at all times.Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −1
Observed cases/bags of briefs and protectant padding stored on the floor in resident room and closet area. Store briefs and protectant pads off the floor. Store items on shelving in bathroom or top of residents closet. Observed some sleeving of styrofoam cups on the floor. Store items in storage room/closet so items do not fall off of shelving or top of items.All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
Dec 5, 2014 95 / 100 · 6 violations
Inspector comments: General Comment: #5. Observed some vent cover throughout in common bathroom with some dust present. Clean vents in common bathrooms.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). #17. Observed water nozzle on water dispenser on 1st floor with some build-up in nozzle. Water dispenser nozzle cleaned at time of inspection. Clean water nozzle on water dispenser often/regular using a food grade sanitizer!**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). #30. Observed pilled crusher on med cart soiled throughout! Thoroughly clean pill crushers often/regular to prevent build-up between crusher!**Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Chanel Jackson and Mike Hudson present at time of inspection!
#3 · Walls and ceilings cleanable, clean, good repair −1
Touch-up paint throughout in common sitting area, common shower/ baths. Patch holes in wall in bathrooms, laundry room and residents rooms and repaint. Clean doors at independent living main entrance and doors to bathrooms! Repair ceiling in 111-B and monitor ceiling in 218 bathroom and repair if needed. Repaint ceiling where repair work has taken place! Monitor water stains on ceiling and repair any leaks if needed.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 laminate on hand washing sink counter separating exposing press/particle wood. Caulk/seal laminate on hand washing sink counter throughout in memory care bathrooms and common shower/bath. Observed soiled shower curtain in 111. Clean or replace shower curtain. Clean shower head in room 203. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Hand washing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed hand washing sinks missing paper towels in activity kitchen near main entrance and kitchenette in memory care. Observed no soap in soap dispenser in hallway bathroom in assistant living! Observed storage in the hand washing sink in soiled linen room in memory care. No storage in hand washing sink! Provide soap and paper towels at all hand washing sink at all times!Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed bags of briefs stored on the floor in residents room and residents bathroom in memory care and assistant living! NO storage on the floor. Store briefs on shelving in closet and shelving in bathroom!All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed soft plush toys/dolls in memory care unit soiled/stained. Thoroughly clean soft plush toys/dolls in memory care unit after each day use or when visibly soiled!Shared plush toys shall be laundered after each day's use. 15A NCAC 18A .1319 (c).
#40 · Food brought by employees or visitors handled properly −0.5
Observed raw eggs stored above other food products in memory care refrigeration unit. Store raw meat and raw eggs below and away from other food products. Carton of eggs was not labeled with employee or resident name and was not dated. WHY IS RAW EGGS BEING USED IN MEMORY CARE UNIT? #44.Observed cases of ensure stored on the floor in closet area of memory care residents. NO FOOD STORAGE ON THE FLOOR! Store ensure on shelving in residents closet.
Jan 29, 2014 95.5 / 100 · 5 violations
Inspector comments: Ms. Laura Lewis present during inspection.GC #12: Observed no soap or paper towels at beauty salon hand sink.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
#1 · Floors easy to clean, no obstacles, drains where needed −1
Observed damaged flooring at threshhold to main laundry. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage in main laundry, hall bathroom where handicap rails were replaced, and stained ceiling tiles in hallway to kitchen. Damaged wall by vent in hall to kitchen.**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 damaged table in custodial portion of laundry room. Observed damaged toilet seat, room 102. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed food spills and splatters on fronts of cabinet doors and inside cabinets in nourishment room, memory care. Observed damaged refrigerator interior, room 230.**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).
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed no thermometer in room 230.**All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b).
Dec 4, 2013 95 / 100 · 5 violations
Inspector comments: . . #2) Observed on Activity Storage Closet collecting debris and residue on the floor. Keep all closet floors clean. Keep all flooring clean. 15A NCAC 18A .1309 (a).#3) Observed bathroom ceiling unfinished in room 218. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.#5) Observed some return vents collecting dust. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). #12) Observed soap dispenser in Wellness Center with no soap. Observed two paper towel dispensers not functioning. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). #14) Disinfectant used for shower is not approved by the EPA for use in Hospitals or Nursing Homes. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).#26) Observed wood and unused equipment collecting around the storage shed. Observed a spreader collecting water at the shed. There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). #28) Observed chemicals stored above patient contact items in a 2nd floor storage closet. Observed patient contact items stored under the sink in the Beauty/Barber Shop. 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).Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).#34) Observed the main clothes washing machine gasket collecting some residue. Observed the main laundry dryer collecting melted residue. Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a).
#8 · Facilities conveniently located, clean and in good repair −1
Observed damaged table in custodial portion of laundry area. Observed residue collecting under the shower pad in room 218. Observed 2nd floor spa tub drain collecting residue. Observed damaged fold down bench in the 2nd floor spa shower. Observed shower curtain collecting residue in 204. Observed memory care spa shower chair 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).
#17 · Water fountains clean, good repair, properly regulated −1
Observed two hallway water coolers collecting pink residue on the water dispensing spouts. 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 pill crusher on one med cart collecting residue. Repeat Non-Compliance. Observed a damaged water pitcher on one med cart. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed lobby, hallway, and some residue room chairs collecting dust, residue, and debris. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen on the bed in room 106. Observed a stained mattress cover in room 218. Observed an overflowing soiled linen container in the Memory Care area. 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).Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “BROOKDALE SOUTH CHARLOTTE” or State ID 2060400122). Inspection type (routine vs. follow-up) is not published in the county's data.