98/ 100
BROOKDALE SOUTH PARK
5326 PARK RD, Charlotte, NC 28209
Rest/Nursing Homes · NC permit/State ID 2060400127
Latest result98 / 100
Last inspectedJun 22, 2026
Inspections on record22
On record sinceDec 30, 2013
Score history
Dec 30, 2013Higher is betterJun 22, 2026
Inspections & violations
Jun 22, 2026 98 / 100 · 3 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 rusted toilet chair in room 6 of Country Lane. Replace. Observed shower in need of cleaning in Cottage spa room. Keep clean.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no soap in Country Lane spa room. Ensure soap is supplied at all hand sinks.
#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 microwaves in need of cleaning in Cottage and Country Lane kitchens. Keep clean.
Nov 26, 2025 97 / 100 · 3 violations
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in rooms 1, 21, and 47. Keep ventilation equipment clean. REPEAT
#7 · Facilities provided, accessible, clean, good repair −2
.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 seats in room 1 and various spa rooms. Tighten. REPEAT
#38 · Food service equipment and utensils clean, good repair
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed minor food buildup in microwave in Garden Patch halllway. Keep food service equipment clean.
May 13, 2025 97.5 / 100 · 2 violations
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in room 1. Keep filters clean.
#7 · Facilities provided, accessible, clean, good repair −2
.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 Garden Path spa room, Country Lane spa room, and several hall bathrooms throughout facility. Tighten. Observed toilet in need of cleaning in Country Lane hall bathroom. REPEAT
Oct 9, 2024 95.5 / 100 · 5 violations
#2 · Walls and ceilings clean, good repair −2
.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 chipping/scuffed walls and baseboards throughout facility. Repair. REPEAT
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in rooms 6, 16, 21, and 29.
#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 Garden Path spa room and in room 29. REPEAT *Points not escalated due to fewer violations noted from previous inspection.
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected −1.5
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed shower bench in Country Lane bathroom in need of cleaning. Observed Garden Path spa room bathtub in need of cleaning. REPEAT
#38 · Food service equipment and utensils clean, good repair
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed fridge and microwave in Garden Path kitchen in need of cleaning and fridge/freezer in Cottage Place dining room in need of cleaning.
Apr 17, 2024 94 / 100 · 5 violations
#2 · Walls and ceilings clean, good repair −2
.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 chipping paint on walls and trim throughout facility. Observed ceiling damage in bathroom for Country, in Room 1 bathroom, in room 10 bathroom. Observed staining on ceiling in country dining area. Observed black build up on wall under bathroom sink in room 24. Repair ceiling, walls, railing, and trim throughout. REPEAT.
#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 stained shower curtain and build up on shower head in Country bathroom and toilet seat is loose. Observed debris shower head and under shower door in Country spa room. Observe toilet tank cover does not fit properly in Country spa room. Observed debris under tub door in Garden Path Spa. REPEAT.
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observe build up on shower chair in Cottage neighborhood. Observed build up on shower bench in Boathouse. Needs cleaning.
#16 · Hot water between 105°F and 116°F −3
.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 heater in cottage is not operating. Hot water in Cottage only reaches 71F. Director stated a new hot water heater is due to be installed tomorrow. Observed water in Garden Path neighborhood spa handsink at 102F and in room 24 at 100F. Observed water in bathroom in Country neighborhood at 122F. REPEAT.
Hot water needs to be 105-116F.
#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 in chair cushions in Cottage common area. Needs cleaning.
Sep 5, 2023 96.5 / 100 · 5 violations
#2 · Walls and ceilings clean, good repair −2
REPEAT
.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 door frames throughout having chipped, worn, damaged surfaces in need of re-painting / repair. Observed ceiling water damaged inside bathroom of resident room #41 in need of repair. Observed walls scuffed, damaged in dining room of (Country Lane) in need of touch-up painting / repair.
#7 · Facilities provided, accessible, clean, good repair
NO POINTS DEDUCTED
.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 seats with broken / loose hardware in need of repair inside resident’s room (#16, #28).
#16 · Hot water between 105°F and 116°F −1.5
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water in one neighborhood (1 out of 4) measuring 124F in all areas. (The remain areas of facility measuring between 105-116.
#17 · Back-up water supply plan available and complete
NO POINTS DEDUCTED
.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 backup water supply plan not available during inspection; Plan observed during previous inspections. Admin reached out to sister location to obtain copy of company’s back up water supply plan.
#28 · No pest presence; effective pest control measures
NO POINTS DEDUCTED
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed live ants in bathroom of room #46; (room is currently not in use)
Dec 20, 2022 98.5 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −1
Observed wall damage and paint needing to be touched up in various areas in halls or restrooms on halls.
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
Observed stains on pillowcases and sheets in room 2.
.1319 (b) A resident's bed linens shall be changed when no longer clean.
May 13, 2022 95.5 / 100 · 4 violations
Inspector comments: #1. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed damaged flooring in bathroom within room 36 on boathouse hall between vanity stand and toilet. Repair flooring in bathroom.
#4. All areas shall have sufficient illumination. Maintain 10 foot candles of light at 30 inches above the floor in all areas other than food service areas. 15A NCAC 18A .1311 (a). Observed light bulb not operating in light fixture above hand washing sink in several residents bathrooms within rooms. Replace blown light bulbs/ light bulbs not working in light fixtures.
#26. There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Observed standing water with mosquito larvae present in trash can within the dumpster corral. Trash can containing standing water emptied at time of inpection. Keep premises free of standing and collecting water.
#42. Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a). Observed several plates of breakfast items sitting on the counter and in the microwave in small kitchenette area on two wings. The CNA informed me that the food were for resident that were sleeping late. Provide some way of tracking time on food products that is not being held either hot or cold. Have food service director to complete TPHC application and implement procedures on application to maintain food products from either being kept hot or cold.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls and door framing damaged and missing paint throughout. Repair corners of walls. Replace missing outlet covers. Secure phone wiring cover plate to wall. Repair walls, door framing and repaint throughout.
#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 base of shower curtain, underside of shower chair/shower bench soiled in common bath/shower. Observed base of spa tub soiled. Thoroughly clean and disinfect shower curtains, shower chairs/shower bench and base of spa tub. Repair leaking faucet on spa tub. Replace broken/missing shower wand holder in common bath/shower area.
#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 diapers/briefs stored on the floor in residents closet and storage on the floor in med supply room. No storage on the floor. Store patient care items on shelving.
#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). Refurbish or replace chair in main lobby area, Wipe/clean exterior of cabinet door in kitchen/common sitting area. Refurbish/touch up cabinets in common sitting/kitchen area. Replace missing laminate on shelving/ledge at nurse work stations. Tighten loose handle on cabinet doors. Replace missing handle on cabinet doors. Clean area under couch cushions. Observed arm rest damaged on residents personal chair. Contact resident family and have them to repair or replace damged arm rest on chair. Points where kept at half points deduction, due to the fact there were issue but not much related to the residents.
Nov 16, 2021 96 / 100 · 3 violations
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed black residue on vent in room 1. Observed dust build up on hall vent on Boathouse hall and on vent in various laundry rooms.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −2
Observed stains in toilets in room 1, room 18, room 31, room 48, and spa on Boat house hall. Observed stains in spa tub on Country Lane hall.
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).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed stain on mattress in room 31. No escalation in points. Improvements noticed.
Dec 29, 2020 95 / 100 · 3 violations
Inspector comments: No points were deducted for the following:
5. Observed vent filter in need of cleaning in room 51.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
21. Observed several bags of trash stored on the floor in Biohazard room.
**Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c).
#8 · Facilities conveniently located, clean and in good repair −2
Observed tub in need of cleaning in spa. Observed toilet in need of cleaning in room 26.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed box spring cover torn in room 51. Observed pillow torn and handles missing on dresser in room 38.
**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
Observed blanket and pillow case with staining in room 51. Observed pillow case with staining in room 38.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Dec 2, 2019 88 / 100 · 11 violations
Inspector comments: NO POINTS
#15: Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed no backflow preventer on shower wand in Garden Path neighborhood.
#27: Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f). Observed cat food stored in kitchen of Garden Path. Staff says an outdoor cat (non-stray) is being fed by several people. Cat needs vaccination records maintained.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed flooring in laundry rooms with cracked tiles, particularly Boat House neighborhood.
#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 loose toilet seat in room 11.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed a mildewed shower curtain in spa in Garden Path neighborhood.
#14 · Disinfectant accessible, properly used −2
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no cleaner or disinfectant located in over half of the spa rooms and bathrooms with showers. No disinfectant located for cleaning water jets in tubs per posted cleaning procedure
#26 · Premises clean, no breeding places or rodent harborage −1
There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Observed live roaches in laundry room of Cottage Place neighborhood.
#28 · Adequate storage, area clean, items properly stored −1
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed personal items being itermingled in bins in laundry rooms such as (solid deodorant, nail clippers, razors, shavers, toothpaste, brushes, and combs. Personal items being locked under room vanities. Protect resident items from contamination by not using skin contact items on several patients or storing under plumbing.
#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 broken blinds in room 33. Stained/soiled mattresses, dressers, and common furniture
#33 · Linen changed when soiled. Soiled linen handled properly −2
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled linens on very close to every bed checked. Change when soiled
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed 1 soiled linen cart not labeled.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
All common linen including sheets, pillow cases, absorbent pads, towels, and wash cloths provided by the facility must be sanitized between users with an EPA registered laundry sanitizer or by other methods described in 15A NCAC 18A .1319 (b). Observed facility has changed out laundry detergent dispensers to ones that only dispense detergent. No bleach added to facility linens. Common linens must be sanitized and records of washing machine maintenance must be maintained.
#36 · Approved utensils and equipment, cleaned and sanitized −1
All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619. Observed plastic trash bags covering clean multi-use. Staff said that they wash, rinse at 2-comp in kitchen areas then send to kitchen for sanitizing. Do not wash in kitchenette, take to kitchen for scraping and washing. Kitchenette sinks not plumbed to greasetrap.
#40 · Food brought by employees or visitors handled properly −0.5
Food brought from home by employees or visitors of patients or residents shall be kept only as long as it is clean, and free from spoilage. 15A NCAC 18A .1321 (b). Observed bags of presumedly sugar stored unlabeled. Items in refrigerators and opened bags of potato chips in kitchenettes. Store and label properly.
#43 · Food storage units with thermometers, maintain temperatures −0.5
All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Observed no thermometer in fridge in room 26.
Feb 15, 2019 90.5 / 100 · 7 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#1 - Observed floor tile missing under washing machine in laundry room of Boat House. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#2 - Observed sweeping needed on floor under beds and in linen closets. **Keep all flooring clean. 15A NCAC 18A .1309 (a).
#5 - Observed dusty ceiling vents in several spa restrooms. Observed damaged screens on exterior of windows. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#15 - Observed back-flow prevention missing from shower wand in spa of Cottage Place. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
#21 - Observed dumpster door to have been left open. Observed sweeping needed around dumpster 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).
#33 - Observed urine stain on pad and underside of sheet in room 24A/B. Observed soiled linen bin not labeled in laundry room of Cottage Place. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). **Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#34 - Observed clean linen being stored on the floor in linen closet of Garden Path. Observed clean linen being stored with other items in cabinet in beauty salon. **Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).
#40 - Observed date but name missing from residents orange juice brought from home. **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).
#43 - Observed thermometers in refrigerators to be reading different temperatures when picked up and moved. Observed thermometers in the back of refrigerator. Store thermometers in the warmest part of refrigerators. **43. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#3 · Walls and ceilings cleanable, clean, good repair −1
Repeat Observed base boards, walls, doors, door frames throughout building (hallways, rooms, common areas, and spas) with damage and scuffing in need of repair or touch-up paint. Observed cleaning needed on the wall in room 12. Observed water stained ceiling in living area of Country Lane and water damaged ceiling in bathroom of Boat House. Observed rotting door framing around exterior of building.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat Observed cleaning needed in spa tub and on base of toilet of Garden Path. Observed cleaning needed under shower chair of Garden Path spa and under toilet chair of Boat House spa. Observed re-caulking needed on base of toilet in Boat House spa. Observed dried urine on toilet seat room 4. Observed cleaning needed in hopper of soiled utility closet of main hallway. Observed re-caulking needed around hand sink in main hallway restroom and in bathroom of Boat House. Observed tape residue collecting debris on hand sink in Boat House restroom. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). **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)
#28 · Adequate storage, area clean, items properly stored −0.5
Repeat Observed briefs being stored on the floor in room 51A/B, activity room storage closet, 24 A/B, and 39. Observed patient contact items being stored under hand sink in room 39.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −2
Repeat Observed pill crushers on med carts with heavy build-up in need of scraping and routine cleaning.
**Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Repeat Observed ripped pillow in room 12 and room 4. Observed stained chair cushion in room 12. Observed heavy debris and food build-up in the couch cushions of common areas throughout neighborhoods. Observed debris collecting on mattresses in room 12, 51A/B, and 39. EHS reminded facility to brush out debris before placing clean linen on beds. Observed heavy build-up and rips on box spring cover in room 4. Observed cleaning needed under couch cushion in room 4. Observed dresser missing drawer pulls in room 51A/B. Observed damaged blinds in room 51A/B. Observed cleaning and touch-up paint needed on cabinet faces of satelite kitchens. **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).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed water dispenser nozzles in all neighborhoods with black and thick white build-up on interior. EHS explained that water nozzles need to be disassembled and cleaned using scrub brush to prevent such build-up. Observed sippy-cups in Boat House Neighborhood with lids screwed shut while water was left in them. EHS reminded that items need to be air-dried before being stored with lids on. Observed cleaning needed in refrigerator of Garden Path. **All kitchenware and food contact surfaces of equipment, exclusive or cooking 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). **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).
#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 yogurt on med cart of Country Lane that CNA stated had been left out over night at 75F. CNA was currently using an opened yogurt for administering medication at 74F. EHS also observed yogurt being used on Garden Path hallway that was at 68F. CNA had removed yogurt from refrigeration more than 2 hours prior. EHS explained in detail that potentially hazardous foods need to be under temperature or time control for safety. If keeping foods at 45F or below, use ice and keep items completely submerged in ice for duration of use. If using temperature, mark exact time item was removed from temperature control on product and then discard two hours later. **All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). **Potentially hazardous foods served shall be either consumed or discarded within two hours of being removed from temperature control. 15A NCAC 18A .1323 (a)
Sep 10, 2018 95 / 100 · 4 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#1 - Observed cracked floor tile in need of repair in spa bathrooms 1 and 2 of Garden hallway. Observed laminate damage in bathroom of room 36. Observed floor damage in several hallway laundry rooms. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
#14 - Observed no disinfectant present in either spa bathroom of Cottage Place or Boat House hallways. Ensure disinfectant is present and accessible in spa restrooms at all times. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#28 - Observed patient care items being stored under the hand sink in room 36. **Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).
#32 - Observed stained pillow in room 22. Observed chair with stain in main hallway. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#33 - Observed soiled linen cart not labeled in laundry room of Cottage Place hallway. **Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
#35 - Observed box of briefs and box of towels being stored on the floor in clean supply in living area of Garden hallway. Observed bar of soap present in spa bathroom of garden hallway. Ensure no personal care items are being shard between residents.
**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
#8 CONTINUED Observed tape residue collecting debris on hand sink counter in spa bathroom on Boat House hallway in need of cleaning. Observed soiled underside of shower chair in need of cleaning and loose toilet seat in spa bathroom of Country Lane hallway.
**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)
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed touch-up paint needed on walls, door frames, and base boards throughout. Observed wall damage in living room of Cottage Place hallway. Observed wall damage on the corner of wall by med cart in Cottage Place hallway.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
REPEAT Observed Director state that spa tubs circulate water. Director was unsure of correct cleaning procedure for circulating tub. EHS advised Director to locate manufactures cleaning instructions for tubs and follow them. Observed caulking needed around hand sinks in spa bathrooms throughout different hallways. Observed soiled toilet seat and dried urine on toilet chair in spa bathroom #2 of Garden hallway in need of cleaning. Observed shower and toilet seat in need of cleaning in spa bathroom #1 of Cottage Place hallway. Observed tub in need of cleaning in spa bathroom #2 of Cottage Place hallway. Observed cleaning needed in hopper of soiled utility in main hallway. Observed cleaning needed in toilet and hand sink of room 46. CONTINUED ON LAST PAGE.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
REPEAT Observed pill crusher with residue build-up and peeling paint on med cart of Cottage Place hallway. Repair or replace. Observed debris in the med cart drawer of Cottage Place hallway.
**Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed clean linen and pillows in laundry rooms throughout that were stored with other items and not covered to protect from contamination. Observed walker and toilet seat being stored in clean linen closet of Garden hallway and Country Lane hallway respectively.
**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).
Mar 1, 2018 96 / 100 · 3 violations
Inspector comments: No Points Deducted:
21. Observed a hole in the dumpster with garbage hanging out. Replace.
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).
27. Observed 2 of the pet records expired. Update all records.
Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f).
33. Observed a torn comforter in room 18- Garden. Replace.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#5 · Ambient air temperature 65 to 85 F, equipment clean −2
Repeat: Observed dust build up on several vents covers and AC/Heater unit filters throughout inspection. Needs to be cleaned more frequently to reduce the amount of dust accumulation.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
-Observed dried urine stains on toilet seats: Boat House: shower room, rooms 44 & 47; Country Lane: room 5. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
-Observed stains under the shower chairs in Cottage Place & Country Shower rooms. -Observed brown stains on the shower curtain in the hall shower room- Country Lane. *Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a&f).
-Observed no hand sanitizer in the salon. Provide. *Facilities in operation prior to March 1, 2003 that do not have handwashing lavatories in all areas required shall have an approved hand hygiene program established. 15A NCAC 18A .1312 (d).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed the bottom of 2 of the med cart drawers collecting residue. Clean.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
Dec 21, 2017 98.5 / 100 · 2 violations
Inspector comments: No Points Issued for the following:
1. Observed floor transition coming loose from the floor in the kitchen in Boat House Cove. Needs to be repaired.
**Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).
3. Observed minor wall damage on corner of counter in the kitchen in Cottage. Needs to be repaired/repainted.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
32. Observed stain on couch cushion on common area in Country Lane. 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).
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed dust build up on several vents covers throughout inspection. Needs to be cleaned more frequently to reduce the amount of dust accumulation.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair left in hair rollers in Beauty Shop. Needs to be cleaned more thoroughly.
**Patient contact items shall be kept clean and in good repair. See rule .1319 (c).
Mar 23, 2017 97 / 100 · 3 violations
Inspector comments: Scott Hope (maintenance) was present during the inspection. The Bathroom on the "Cottage" hall was not inspected due to construction.
NO POINT DEDUCTION FOR THE FOLLOWING:
12. Observed the soap dispenser was broken (soap not accessible) in the "Country Lane" laundry room. **Ensure that all hand washing sinks have accessible hand soap.
34. Observed no test strips available in laundry rooms; test strips were stored in maintenance office. Provide test strips in laundry room so each load of common linen can be tested for proper sanitizing concentration.
#8 · Facilities conveniently located, clean and in good repair −1
Observed the toilets needed cleaning in rooms 27 and 17. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Observed the sink was clogged in "Bath House" Tub room, and the sink needed cleaning in room 27. **Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed the shower curtain liner with mildew. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed the sink was blocked by a large box and other items in the soiled utility room. **Toilet, hand washing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a).
#14 · Disinfectant accessible, properly used −1
Observed no whirlpool disinfectant supplied in the tub rooms or anywhere else into he facility. **A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed several used wash clothes piled on top of the lidded trash can in "Cottage" shower room. **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).
Aug 17, 2016 95 / 100 · 5 violations
Inspector comments: Andrea Fitzgerald was present during the inspection.
12. Observed no soap at the hand washing sink in the Cottage Place laundry room. **Soap shall be supplied at each hand washing area at all times.
14. Observed instructions posted for cleaning/disinfecting the whirlpool tubs require bleach, and no bleach supplied in the community bathroom.**Skin contact surfaces of all shared bathing equipment shall be cleaned with a detergent solution and then disinfected with an EPA registered hospital disinfectant between patient uses. 15A NCAC 18A .1312 (f). **The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
34. Observed no testing method for ensuring chlorine strength is being met for washing/sanitizing shared linen. **Provide test strips. **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).
#4 · Lighting at least 10 foot candles 30 inches above floor −1
Observed and lights in the hallway linen closets with debris (REPEAT), and the light was not working in the Garden Path laundry room.
**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).
#6 · No evidence of microbial growth −1.5
Observed mildew/bacteria growth on the ceilings in the dining rooms and hallways, on the ceiling and walls in the beauty shop, and on the HVAC vents throughout the facility.
**Moisture shall be controlled such that there is no evidence of microbial growth on interior surfaces and objects. 15A NCAC 18A .1311 (d).
#8 · Facilities conveniently located, clean and in good repair −1
Observed 2 shower chairs were soiled in the Boat House Cove community shower room.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed some sinks were slow to drain in the shower/bath rooms. **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed a hallway love seat with several stains and in need of cleaning, hallway window blinds were dusty, and chairs, drawers, and dryers seats in the beauty shop with accumulated hair.
**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).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed several brushes were left with hair from previous clients/residnets (REPEAT).
**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
Mar 31, 2016 95.5 / 100 · 5 violations
Inspector comments: Scott Hope and Andrea Fitzgerald were present during the inspection.
4. Observed the light globes in some linen closet with debris. **Keep light fixtures clean.
34. Observed damp blue towels in towel warmers throughout the facility dining area. **Ensure that all shared linen is properly sanitized with chlorine at awahing machine final rinse.
NOTE: Observed the damp hand towels were stored in the towel warmers at room temperature. Remove damp towels and properly wash/sanitize each day if towel warmers are powered off to prevent bacteria growth.
#2 · Floors clean, carpet clean, dry, odor free −1
Observed the floors in some resident rooms were dusty in corners and beneath the beds, and the flooring quarter round was not secure in room 4.
**Keep all flooring clean. 15A NCAC 18A .1309 (a).
#8 · Facilities conveniently located, clean and in good repair −1
Observed the shower curtain needed cleaning in Garden Path; a shower chair and the toilet were soiled in Boat House Cove.
**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).
#27 · Pet areas clean, veterinary records available −1
Observed both bird cages were heavily soiled, and no vet records for a cat being fed and housed by the residents.
**Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f).
**Animal pens, litter boxes, bird cages and other areas on the premises shall be cleaned to minimize accumulation of animal wastes, pet dander and allergens. 15A NCAC 18A .1317 (e).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed a used bath towel was left on the counter top in the Cottage Place shower room.
**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).
NOTE - Provide a labeled soiled linen bin for the beauty salon for used towels.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed the brushes and rollers in the beauty shop with hair left in them.
**Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319 (c).
Nov 18, 2015 92 / 100 · 7 violations
#3 · Walls and ceilings cleanable, clean, good repair −1
REPEAT: Observed holes in walls in multiple rooms. Observed base boards breaking apart in multiple rooms.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
REPEAT: Observed the toilet in the bathroom in the Garden Path neighborhood with residue underneath the seat. Observed the toilet in room 7 with residue underneath the toilet seat. **Toilet facilities shall be kept clean and in good repair. 15A NCAC 18A .1312 (a)
#11 · Hand sinks used only for intended purpose −1
Observed soiled linens in the laundry room handsink in the Cottage Place neighborhood. ** Lavatories used for handwashing or personal hygiene shall not be used for disposal of body fluids or cleaning soiled linens. 15A NCAC 18A .1312 (d)
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no soap in the hand dispenser in the Boat House laundry room handsink soap dispenser. **Provide soap to all handwashing sinks. 15A NCAC 18A .1312(d)
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed no proper water temperatures in the Garden Path neighborhood at any handsinks in patient rooms or bathrooms. The water temperatures were (+)(-) 77 F. ** Water heating facilities shall provide hot water within the temperature range of 100 degrees F to 116 degrees F at all lavatories and bathing facilities. 15A NCAC 18A .1312 ()e)
#28 · Adequate storage, area clean, items properly stored −0.5
Observed resident clothes on the floor and incontinence pads on the floor in room 7 closet. **All patient contact 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 a torn mattress in room 36. **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)
May 18, 2015 91.5 / 100 · 6 violations
#2 · Floors clean, carpet clean, dry, odor free −1
Observed strong urine smells in several resident rooms. Make sure floors are being mopped. Make sure floors and baseboards are intact so urine doesn't get into the subfloor.**Keep all flooring clean. 15A NCAC 18A .1309 (a).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed dirty ceiling (looks like smeared mold) in beauty salon, ventilation is poor. Provide ventilation, eliminate mold. Chipped window sill (rough, could give splinter) room 38.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −2
Repeat: Observed cabinets in laundry area with broken doors and drawers. Toilet plumbing leak, room 21. Shower room floor missing grout, Garden Path. Bathroom floor damaged, room 38. Plumbing leak at sink, room 48. Most cabinet interiors in disrepair in bathrooms.**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)
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −3
Repeat: Observed no soap, Cottage Place bathroom. No paper towels, shower room on Boat House Cove. Water turned off in rooms 43 and 48. Do not turn water off in resident rooms.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed diapers stored on floor in several rooms.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen on beds in rooms 48 and 38. Torn pillow protector in room 42. Torn mattress protector in room 48. Torn blanket in room 48.**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Aug 21, 2014 92.5 / 100 · 6 violations
#2 · Floors clean, carpet clean, dry, odor free −1
Observed damaged floor tiles in laundry, country lane. Strong urine odor, room 46.**All carpet shall be kept odor free. 15A NCAC 18A .1309 (a).**Keep all flooring clean and good repair. 15A NCAC 18A .1309 (a).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall damage in laundry room, garden path.**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 rusty toilet chair, hall bathroom cottage place and country lane. Loose toilet seat room 31 and hall bathroom boathouse. Shower curtains with mold growth hall bath country lane and garden path. Pink slime on shower floor, garden path. Cabinets damaged in all laundry areas.**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Ob•served no water at hand sink room 46, repair ASAP. No paper towels in hall bath, garden path. Hand sink not accessible in biohazard room (boxes in way).**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).**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).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed hot water reaching 120F in common bathroom, cottage place.**Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).
#22 · Solid waste disposed of frequently, no insect breeding or nuisance −1
Observed offensive odor at dumpster, wrap bags of soiled diapers tightly before putting in dumpster.**All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d).
Dec 30, 2013 90.5 / 100 · 7 violations
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed dusty vents in several areas.**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
Observed loose backsplashes in wellness office, employee lounge. Soiled sink handle, room 45. Soiled toilet seat, hall bathroom, Garden Path. Formica edging in disrepair, counters in laundry rooms. Cabinets in laundry rooms need cleaning out of build-up/debris. Cabinet damaged below hand sink, employee break room. **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)
#14 · Disinfectant accessible, properly used −2
Observed no cleaning instructions for water jetted tubs. Post these instructions in bathrooms. No disinfectant in shower room, Garden Path.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).**The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed ice not locked and no dispensers with chutes.**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).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed diapers next to hand sink in hall bathroom, Boathouse Cove. Gowns stored below hand sink in biohazard room. Single service cups in lobby area need a dispenser or to remain sleeved.**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).
#36 · Approved utensils and equipment, cleaned and sanitized −2
Observed cabinets in all neighborhood kitchenettes need cleaning. Microwave rusted, Cottage Place.**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).
#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 meat, cheese, bread in neighborhood refrigerators for residents to make sandwiches. Sandwiches need to be made in kitchen, wrapped and dated for residents use (or meals plated and wrapped and dated. Residents should not be preparing own sandwiches/food unless it is their food and not neighborhood food.**All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “BROOKDALE SOUTH PARK” or State ID 2060400127). Inspection type (routine vs. follow-up) is not published in the county's data.