99.5/ 100

SUMMIT PLACE OF SOUTHPARK

Name: Summit Place of Southpark
Address: 2101 Runnymede Ln, Charlotte, NC, 28209, US

2101 RUNNYMEDE LN, Charlotte, NC 28209

Rest/Nursing Homes · NC permit/State ID 2060400129

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Latest result99.5 / 100

Last inspectedJun 3, 2026

Inspections on record23

On record sinceDec 31, 2013

Score history

Dec 31, 2013Higher is betterJun 3, 2026

Inspections & violations

Jun 3, 2026 99.5 / 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 various resident rooms. Keep clean.

#28 · No pest presence; effective pest control measures

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed 3 dead roach-like bugs throughout building. Ensure pests are not present.

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Nov 4, 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 water stained ceiling above shower in room 213. Repair.

#7 · Facilities provided, accessible, clean, good repair −1

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Apr 23, 2025 99 / 100 · 1 violation

#5 · Ventilation equipment clean, good repair −1

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust build up in vents in memory care room. REPEAT

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Oct 9, 2024 97.5 / 100 · 4 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 wall paint peeling outside of storage room on third floor. Repair.

#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 230.

#7 · Facilities provided, accessible, clean, good repair −1

#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 fridge in room 226 in need of cleaning and microwave in memory care dining room in need of cleaning. REPEAT

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Apr 17, 2024 96 / 100 · 3 violations

#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 at 100 in room 110 and at 103F in room 107. Needs to be 105-116F. REPEAT.

#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 build up in fridge in memory care dining area. Observed build up in and under fridge in room 213. Needs cleaning. REPEAT.

#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. .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 facility did not have a copy of the vomit and diarrhea cleaning plan. EHS provided a copy.

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Oct 26, 2023 93.5 / 100 · 8 violations

#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 stained ceiling tiles in electrical rooms on second and 3rd floor hallway. Observed stained or discolored ceiling tiles in 3rd floor hallway and 3rd floor clean linen room. Observed small stain on bathroom ceiling in 230. Observed hole in wall in room 110. Observed crack in bathroom ceiling in room 311. REPEAT VIOLATION.

#3 · Ceiling attachments cleanable, clean, good repair −0.5

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed a falling light in the bathroom of room 311. 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 build up on shower floor in 230, 332 and in 310. Observed build up on shower curtain on 311. Observed build up in or on toilets in rooms 230, 233, 217, 211, 310, 311, and 3rd floor hall bathroom. Needs cleaning. Observed toilet paper wall holder broken in 110 bathroom. Observed build up on shower chair in 310. REPEAT VIOLATION.

#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 handsink water at 118F in 230, at 120F in 229, at 121F in 233, and at 118 in 226. REPEAT VIOLATION.

#28 · No pest presence; effective pest control measures −0.5

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed small flies in memory care dining room. Observed roach in shower floor of 233 and in bathing room next to salon. Observed bugs in light fixtures in electrical closets. Needs removal. REPEAT.

#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 heavily stained mattress in room 110. Observed torn chairs in movie room. Needs repair/replacement. Observed build up on cabinets in memory care dining room. (Maintenance manager stated new chairs are to arrive Monday for movie room.)

#35 · Resident’s personal laundry properly handled; containers properly labeled; combined resident’s laundry properly handled

.1319 (c) Patient contact items shall be kept clean and in good repair. Observed many hairs in clean hair rollers in salon. Needs to be cleaned.

#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 build up in refrigerators in physical therapy room, room 233, movie room, and memory care dining room. REPEAT VIOLATION.

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Feb 8, 2023 97.5 / 100 · 8 violations

Inspector comments: Catie led the inspection with assistance from Jamil.

#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 peeling paint in room 311, water stained ceiling tile in the 3rd floor laundry room, scuffed paint and dent in wall in room 201, and a falling ceiling tile in the 1st floor maintenance room.

#3 · Ceiling attachments cleanable, clean, good repair

.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. Observed a falling light in the bathroom of room 311, missing multiple sprinkler head caps in the 3rd floor activity room, and missing light shield in the 1st floor maintenance room.

#5 · Ventilation equipment clean, good repair −0.5

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dirty air filters in rooms 311, 329, 201, and 102.

#7 · Facilities provided, accessible, clean, good repair

#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 less than 105 F in rooms 311, 320, the 3rd floor activity room, 201, 238, 116, and 102.

#28 · No pest presence; effective pest control measures

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed dead pests under sinks and inside maintenance closet. PIC stated pest control had been on site yesterday. Remove dead pests.

#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5

.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed dirty linen inside rooms 238 and 227. Increase cleaning frequency.

#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 spills inside the refrigerators inside rooms 238 and 320. Increase cleaning frequency.

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Nov 9, 2022 97.5 / 100 · 2 violations

#13 · Lavatory and bathing hot water between 100 and 116 F −2

Observed water temperature ranging from 118-126F during the inspection. **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).

#43 · Food storage units with thermometers, maintain temperatures −0.5

Observed thermometer missing in the refrigerator in room 205F. **All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).

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Feb 10, 2022 97 / 100 · 2 violations

Inspector comments: No points were deducted for the following: 3. Observed wall damage in room 209. Observed water stained ceiling tile in the laundry room on the 3rd floor. Observed wall damage in the laundry room. Needs to be repaired. Ensure that no leaks are ongoing. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. 12. Observed no paper towel or other means of drying hands in the laundry room on the 3rd floor. Paper towels were provided during the inspection. **Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). 24. Observed dead insects in the biohazard closet on the 2nd floor. Increase pest management. **Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). 32. Observed sink under the handwashing sink in need of cleaning. Needs to be cleaned. NOTE: Only sink in need of repair throughout facility. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). 43. Observed no thermometer in the refrigerator in rooms 306 and 329. Thermometers were provided. **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 −1

Observed laminent missing on the handwashing sink in the Med Room on the 3rd floor, wood exposed. Needs to be repaired. **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed stain on toilet in room 209. Needs to be cleaned. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#13 · Lavatory and bathing hot water between 100 and 116 F −2

Observed hot water range from 95-97F in rooms 224, 238, 209, 105, 116, activity room on the 3rd floor, and hallway restroom on 2nd floor. Temperature needs to fall within allowable range. **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).

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Jul 9, 2021 97.5 / 100 · 2 violations

Inspector comments: No points were deducted for the following: 8. Observed stained toilet seat in room 328. Needs to be cleaned. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). 28. Observed cups stored on the floor in the supply closet on the 1st floor. Cups were placed on shelving. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). 32. Observed couch with staining on the hallway on the 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). 36. Observed interior of refrigerator in need of cleaning in room 210. **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).

#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5

Observed no paper towels or drying mechanisms available in the activity room or the laundry room. Needs to be provided. **Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Observed hot water reach 122-126 in rooms 230, 228 and 231. **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).

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Dec 17, 2020 96 / 100 · 3 violations

Inspector comments: NO POINTS DEDUCTED #9 KEEP TOILET ROOMS AND SPAS FREE OF STORAGE (NON-BATHING); OBSERVED SPA ON 1ST FLOOR HAVING A TEMPORARY SETUP FOR VISITS (TABLES AND CHAIRS AND PARTITIONS) DUE TO COVID-19 RESTRICTIONS. BEFORE UTILIZING THE SPA REMOVE NON-BATHING ITEMS.

#2 · Floors clean, carpet clean, dry, odor free −1

Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed flooring (carpet) stained inside resident room (#330).

#3 · Walls and ceilings cleanable, clean, good repair −2

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wall damage in need of repair inside (Laundry room, Memory Care linen closet, 2nd floor janitorial closet).

#5 · Ambient air temperature 65 to 85 F, equipment clean −1

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed PTAC vents / grates having build-up on surfaces in need of general cleaning inside room (#330).

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Nov 26, 2019 92.5 / 100 · 7 violations

Inspector comments: NO POINTS #34: Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed linens stored with non-linens in linen closets on 2nd & 3rd floors. #17: Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed fountains with too high water pressure and splattering onto carpet.

#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 soiling on undersides of shower chairs. Loose non-slip strips and glue residue on some shower floors. Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed some water damaged vanities Handwashing sinks shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions. 15A NCAC 18A .1312 (d). Observed hand sink full of supplies in soiled utility room. Hoppers are not being cleaned on a regular basis.

#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 excess storage in spa room.

#14 · Disinfectant accessible, properly used −1

Where disinfectants are mixed on site, the concentration of the mix shall be assured by use of a metering pump, measuring device or chemical test kit. 15A NCAC 18A .1312 (f). Observed that spray hose being utilized in mop sink. Housekeeper bringing chemicals on cart to mix in this room. Chemicals are to be mixed at the dispenser only. No free mixing.

#19 · Ice protected, dispensed, equipment clean in good repair −1

Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b). Observed ice scoop holder slimy, run through dishwasher daily. Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed ice in ice chest not free draining. Ice needs to drain

#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1

Observed debris in the bottom of pill cups and drink cup bags.

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed soiled pillows on beds. Recommend pillow protectors that are easier to wash than pillows.

#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

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 plate from lunch in microwave of memory care at 2:40. CDI-disposed of All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a). Observed many ham/cheese sandwiches without date marking. CDI-date marking

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Mar 13, 2019 90 / 100 · 7 violations

Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING: #1 - Observed missing tile in entry way of med room on 3rd floor. Observed re-caulking needed where shower meets floor in restroom of 114. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). #2 - Observed floor cleaning needed under beds and along walls behind beds in memory care rooms. Observed staining on carpet in 212 and 226. Observed cleaning needed on carpet in closet of 226. **Keep all flooring clean. 15A NCAC 18A .1309 (a). #13 - Observed hot water reach 118F in room 330. Water spiked to 118F when shower was turned on along with hand sink and then it tempered back down. **Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). #17 - Observed water fountains with build-up on the first floor. EHS suggested using food grade sanitizer and scrubber to remove build-up. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). #19 - Observed cooler full of ice in memory care without lock on it. Scoop was left in cooler and handle was submerged in ice. **Ice machines, buckets, other containers, and scoops shall be protected from the elements, splash, drip, dust, vermin, other contamination, and from use by unauthorized personnel. 15A NCAC 18A .1314 (b). **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). CONTINUED FROM #42 - Observed gallon of milk at 52F in memory care refrigerator. Milk voluntarily discarded. Gasket was not sealing on the refrigerator and internal ambient air thermometer was reading 58F. Maintenance adjusted temperature on refrigerator and thermometer eventually read 39F. EHS recommended fixing gasket to seal. **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) NOTE: CNA of memory care was unsure of how shared baby dolls are cleaned. See following rule: **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). Ensure staff is properly trained on how to clean these items. NOTE: Observed house keeper cleaning rooms on 3rd floor, per discussion, house keeper is using a yellow liquid in a spray bottle labeled "glass cleaner" for disinfectant. Maintenance director showed EHS chemical he believed was actually in the bottle on the service hallway where house keepers fill up. Yellow cleaner in this area was floor cleaner. Disinfectant bottle was empty. Ensure house keepers are using disinfectant for tubs and toilets. Disinfectant was replaced. Observed chemical spray bottle in service hall janitors closet to be mislabeled. ENSURE ALL CHEMICALS ARE PROPERLY LABELED.

#3 · Walls and ceilings cleanable, clean, good repair −1

Repeat Observed water stained ceiling tiles in hallways, janitorial closet of 2nd floor, clean linen closet of 3rd floor, service hallway, beauty salon closet, and memory care closet. Observed wall damage on the corner of wall in room 114. **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 loose toilet seats in 330 and 212. Observed cleaning needed on the back of shower chair in 310 and shower chair leg of 114. Observed cleaning needed on the underside of toilet chair in 310 and cleaning needed in toilet bowl of 212. Observed hoppers to be soiled in areas throughout. Observed hand sink counters with water damage in memory care restrooms. Observed cleaning needed under the hand sink in room 114. Observed recaulking needed around the backs of hand sinks in memory care. **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)

#28 · Adequate storage, area clean, items properly stored −1

Repeat Observed briefs being stored on the floor of closets in 310, 212, and 226. Observed wipes being stored under hand sink in room 114 of memory care. Observed box of paper towels being stored on the floor of 2nd floor activity room closet. **Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a). **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).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

Repeat Observed stained mattresses in room 310 and room of memory care. Observed pillow with staining and soil in room 226. Observed couch with staining in room 226. Observed crumbs under couch cushions of 2nd floor hallway. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Repeat Observed mattress pad with staining in room 226 and stained mattress pad and sheets in 114. Observed foot skin particles left on the edge of the bed in 114. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

#36 · Approved utensils and equipment, cleaned and sanitized −1

Repeat Observed cleaning needed in the refrigerator and freezers of 310 and 212. Observed cleaning needed in the microwave of 212. **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 open container of thickener on med cart of 3rd floor that was at 76F. Packaging states to refrigerate after opening and to leave product at room temperature for 8 hours after opening and then discard. Observed container of yogurt in memory care med cart drawer that was above 45F. Yogurt was labeled for 9am. All TCS (Temperature Control Required for safety) foods must be held at 45F or below at all times or be under a time procedure. Rule states that TCS foods must be discarded two hours after opening or removing from temperature control. EHS advised labeling items when they are opened or removed from temperature control for them to be discarded 2 hours later. CONTINUED ON BACK PAGE

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Oct 10, 2018 91 / 100 · 7 violations

Inspector comments: 2) All carpet shall be kept odor free. 15A NCAC 18A .1309 (a). Observed carpet in room 314 with urine and urine odor. 5) Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed AC filter in room 324 with heavy dust accumulation. Observed missing AC filter in room 100. 12) Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no soap in room 331. Room was vacant. Provide soap. 13)Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed hot water at 118F in room 235. 24) Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). Observed spider in bed of room 322. 36) Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed microwave with food debris in room 324. REPEAT VIOLATION Significant improvement from previous inspections. Inspection lead by Jessica Le, REHSI.

#3 · Walls and ceilings cleanable, clean, good repair −1

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed heavy dust accumulation on walls in laundry room. Observed peeling baseboard throughout 3rd floor hallway and in 3rd floor resident laundry room. Observed water damage on ceiling in rooms 324 and 235. Observed ceiling damage near the 3rd floor nurses station. Observed wall damage in room 235, 2nd floor left hallway shared bathroom, room 202, room 106, and in large laundry room. Observed peeling paint in room 235. a

#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 non-slip tread in shower of room 322 peeling. Observed pink build up on shower head in room 322. Observed shower bench with black build up in room 322. REPEAT VIOLATION Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed soiled toilet in 3rd floor, left hallway restroom. Observed soiled potty chair in room 322. Observed rusted shower rail in room 204. REPEAT VIOLATION

#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 briefs stored on floor in room 235 and 100. Observed patient items on floor in memory care storage and 2nd floor nurses station and 1st floor storage room. REPEAT VIOLATION

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2

Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a). Observed heavily stained mattress with strong odor in room 322. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed stained chairs in room 322 and 2nd floor activity room. Observed crumbs in furniture of room 322 and 3rd floor activity room. Observed damaged couch in 3rd floor activity room. Observed stained pillows in rooms 235 and 106. Observed peeling cabinets in 3rd floor activity room, room 202, and room 106. REPEAT VIOLATION

#33 · Linen changed when soiled. Soiled linen handled properly −1

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained comforter in room 106 and room 100. Observed debris in bed of room 100. Observed urine on sheets in room 314. Observed stained pillowcases in rooms 235 and 106. REPEAT VIOLATION 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). Observed no lid on beauty parlor soiled linen container. Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed unlabeled container with soiled linen in 3rd floor electrical room.

#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

All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a). Observed apples unwashed and with no sign that says "wash before eating" throughout facility displayed for grab and go. Wash apples and wrap in plastic wrap or a bag or post a sign that says "wash before eating". REPEAT VIOLATION

#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 room 235 refrigerator. Observed damaged thermometer in 2nd floor nurses station refrigerator. REPEAT VIOLATION

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Mar 12, 2018 94.5 / 100 · 4 violations

Inspector comments: No Points Deducted Today: 10. Observed urine still in the urinal in room 339. Follow the rule below. All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). 15. Observed no back flow preventer on the shower wand in room 310. Provide. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). 33. Observed stains on the bedding in room 108. Change. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). 36. Observed buildup inside of the microwave and refrigerator in rooms 236, 339, and MC ref. 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. Observed unprotected apples on the floors for grab and go. Ensure the apples are washed and wrapped or provide a sign that informs the consumers to wash before consumption. All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a). 43. Observed no thermometers in the refrigerators in room 236 and 2nd floor med room. Provide. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). NOTE: Observed the dumpster lids broken in and the doors open. Replace broken lids and keep close.

#8 · Facilities conveniently located, clean and in good repair −2

Repeat: -Observed stains on the shower chair in rooms 339 and 120 (MC unit). -Observed stains on the shower curtain in room 110 on the MC unit. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). -Observed the toilet seat riser rusted in room 110 and loose toilet seat in the 2nd floor hall restroom. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#28 · Adequate storage, area clean, items properly stored −0.5

-Observed a box of caths on the floor in the closet of 339 and briefs on the floor in other rooms/bathrooms. -Observed towels and cloths stored unprotected below the sink pipe in room 339. 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 drawers soiled in the med carts on the 2nd floor. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). -Observed a personal drink stored on a med cart on the 2nd floor. 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 −2

Repeat: Observed couches with debris and crumbs under cushion in the 1st floor common room and in the halls of the MC unit. **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).

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Jun 29, 2017 96 / 100 · 3 violations

Inspector comments: Nelson Santos was present during the inspection. Susan Protsko accepted the report. NO POINTS WERE DEDUCTED FOR THE FOLLOWING: 28. Observed cabinets were water damaged beneath the ice machine in 3rd floor activity room. **Repair machine and repair water damaged cabinets. 34. Observed wet / damp aroma therapy hand cloths were stored in a warmer that was turned off. Ensure the cloths are maintained at an adequate temperature (warmer turned on) to prevent the growth of bacteria. Ensure aroma therapy cloths(blue) are sanitized between uses. Current sanitizer used for linen in chlorine bleach. Hot water sanitizing may be an option if hot water temp 160F or high for 25minute at the commercial washing machine. Provide adequate documentation for all sanitizing of common linen. 36. Observed the drink dispenser stand (3rd floor) needed cleaning. **Keep all non-food contact surfaces in a sanitary condition.

#8 · Facilities conveniently located, clean and in good repair −1

Observed the sink with residue / debris and needed cleaning in room 229. **Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed the shower curtain with pink / brown residue in room 101, and the shower head with pink residue in room 244. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed the toilet and toilet seat were soiled in room 244. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed the washing machine was not draining in the 2nd floor laundry room. **Repair washing machine and keep in good repair.

#13 · Lavatory and bathing hot water between 100 and 116 F −2

REPEAT Observed the hot water in some resident rooms 118F - 123F; 119F in rooms 316, 325, 326, 219, and 123F in room 229. **Maintain the hot water at all resident accessible hand washing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).

#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1

Observed couches with debris and crumbs under cushion, and upholstery needed cleaning in the 2nd floor TV room, and 3rd floor activity room. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

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Nov 4, 2016 96.5 / 100 · 5 violations

Inspector comments: No Points Deducted Today: 3. -Observed water stained ceiling tiles on each floor in closets, stairwells, and halls. Replace. -Observed the wall corner missing in the 3rd floor activity room. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. 19. Observed an ice chest stored on the 1st floor hall unprotected. Lock or keep under constant supervision. Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). 24. Observed a large amount of fruit or drain flies in the MC dinning. Provide treatment. Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). 30. Observed drawers in one med cart soiled. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Observed the water in rooms 330 at 120F and rooms 102 & 113 at 119F. Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e).

#28 · Adequate storage, area clean, items properly stored −0.5

-Observed resident's briefs stored unprotected under the handsink pipes or on the floor in several rooms. -Observed resident's (blue) bed pads stored on the floor in some rooms also. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

#36 · Approved utensils and equipment, cleaned and sanitized −1

Observed the top inside several microwaves soiled. Clean. Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).

#40 · Food brought by employees or visitors handled properly −0.5

Observed 2 bags of food stored in the 1st floor common refrigerator with the facility's food supply unlabeled or not labeled correctly. Follow the rule. 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 · Food storage units with thermometers, maintain temperatures −0.5

Observed no thermometers in several resident's refrigerators. Provide. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).

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Jun 24, 2016 96 / 100 · 3 violations

Inspector comments: NO POINTS DEDUCTED TODAY: 8. Observed no hand sanitizer in the dispenser in the salon. Replace. 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). 32. Observed the shelf in the cabinet under the ice machine with water damage- 3rd floor family room. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). 43. Observed no thermometer in the refrigerator in room 213. Provide. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b). Nelson Santos & Richard Lyon present during the inspection.

#13 · Lavatory and bathing hot water between 100 and 116 F −1

Observed all the water temped at 119F, 120F, 122F, and 123F. Per Mr. Santos, new water heater was placed inthe faciilty. Ensure the rule below is followed. 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).

#15 · Approved water supply, no cross-connections −2

Observed no back flow preventer on the shower wands in room 318, 322, and 233. Provide on these and any other shower wands that do not have one. Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Repeat: Observed stained sheet and mattress pad in room 223, and stains on the comforter in room 101. Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

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Dec 17, 2015 97 / 100 · 2 violations

Inspector comments: 24) Observed live cockroach in cabinet in BTR dining room. **Effective measures shall be taken to prevent presence. 15 NCAC 18 .131717) Observed water fountain water dispensing well beyond mouthpiece onto floor. **Drinking fountains shall be of sanitary angle jet design and properly regulated. 15 NCAC 18 . 1314

#8 · Facilities conveniently located, clean and in good repair −2

Observed shower chairs soiled on the underside in rooms 326 and 226. (Repeat Non Compliance) **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).Observed toilet risers soiled on the underside in rooms 326 and 107 (Repeat Non Compliance) **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

#33 · Linen changed when soiled. Soiled linen handled properly −1

Observed torn sheets, stained pillowcases and sheets on beds in rooms 313, 106, 110**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

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Feb 9, 2015 94.5 / 100 · 5 violations

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed many stained ceiling tiles throughout facility. Wall damage in bathroom of room 116.**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 hoppers need more frequent cleaning. Shower floors need cleaning towards the back, shower chairs are not being moved to clean shower floor thoroughly. Toilet riser very soiled, room 100. Salon chairs with product build-up on the backs.**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).

#19 · Ice protected, dispensed, equipment clean in good repair −1

Observed cooler of ice without drain or locking mechanism in memory care.**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).**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).

#28 · Adequate storage, area clean, items properly stored −0.5

Observed diapers stored on floor in diaper storage closet. Seal raw wood that is supporting the shelf in same room.**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 about half the dirty linen carts not labeled "soiled linen"**Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).Mr. Nelson Santos present during inspection.

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Oct 3, 2014 94.5 / 100 · 5 violations

#3 · Walls and ceilings cleanable, clean, good repair −1

Observed wall damage in manicure room. Stained ceiling in 3rd floor activity room.**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 vanity with exposed particle board, memory care, 1st room on right. Toilet needed cleaning around rim, room 329. Rusted medicine cabinet interior, room 315. Leak below hand sink, room 226.**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)

#28 · Adequate storage, area clean, items properly stored −0.5

Observed boxes stored on floor in area near laundry and 2nd floor storage room.**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1

Observed sanitizer bucket empty for washing machines. Maintenance report needs to state ppm level going to wash cycle for each machine.**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).

#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 food stored below hand sink in memory care dining room. Roast beef and soup in 3rd floor activity refrigerator without date and/or name.**All food while being stored, prepared, transported, displayed, and served, shall be protected from contamination. 15A NCAC 18A .1323 (a).**GC #30: Observed debris in bottom of baggie on med carts.**Need an approved back-up water supply plan. Gave template

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Apr 9, 2014 97.5 / 100 · 3 violations

Inspector comments: Observed damaged chair(torn) in television lounge on second floor. Replace damaged chair. Observed hair present on shelving within cabinet area of beauty parlor. Clean shelving within cabinet area. **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 damaged window screen in television room on second floor and window was open. Replace damaged window screen if facility is going to open windows.**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).Mr. Nelson Santos present at time of inspection.

#1 · Floors easy to clean, no obstacles, drains where needed −1

Observed loose flooring near base of shower in room 329, 335 and 317. Observed missing floor tile near nurse station on third floor. Observed missing base board in dining room area of dementia unit. Tightly secure and seal loose flooring near shower in residents bathroom. Replace missing floor tile near entrance to nurse station. Replace missing base board in dining room of dementia unit.**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

Observed damaged wall near top of can wash in 3rd floor janitor closet. Observed hole in wall in clean linen room/ storage room and laundry room on 1st floor. Repair wall in janitor closet. Patch holes and repaint wall in clean linen/storage room and laundry room. Tightly secure loose rubber cove base moulding in storage room/laundry room.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

#28 · Adequate storage, area clean, items properly stored −0.5

Observed case of gloves stored on the floor in nurse station on third floor. Observed case of isolation gown and adult wipes stored on the floor in closet area of activity room. No storage on the floor; store items on shelving!**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

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Dec 31, 2013 97.5 / 100 · 3 violations

Inspector comments: 3. -Observed a water stain on the ceiling above the shower in room 114.-Observed wall damage in the laundry room.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.19. Observed pink residue in the ice machine on the 3rd floor.Ice machines, buckets, other containers, and scoops shall be cleaned on a regular schedule such that they are kept free of scum, rust, mold or other contamination. 15A NCAC 18A .1314 (b).Mr. Nelson Santos present during the inspection.

#8 · Facilities conveniently located, clean and in good repair −1

-Repeat Non-Compliance: Observed loose toilet seats in the hall restrooms on the 2nd & 3rd floors and in rooms 213 & 114.-Observed brown residue on the toilet seat in room 318.Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).-Observed pink build up on the shower curtain in room 309.

#33 · Linen changed when soiled. Soiled linen handled properly −1

Observed stained pillow cases, pillows, bed pads and/or sheets in rooms 329, 318, 309, and 114.Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

#43 · Food storage units with thermometers, maintain temperatures −0.5

Observed no thermometers in the refigerators in rooms 233, 244, and 213.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b).

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Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “SUMMIT PLACE OF SOUTHPARK” or State ID 2060400129). Inspection type (routine vs. follow-up) is not published in the county's data.