94.5/ 100
AUTUMN CARE OF CORNELIUS
19530 MT ZION PY, Cornelius, NC 28031
Rest/Nursing Homes · NC permit/State ID 2060400137
Latest result94.5 / 100
Last inspectedOct 19, 2026
Inspections on record22
On record sinceMar 9, 2015
Score history
Mar 9, 2015Higher is betterOct 19, 2026
Inspections & violations
Oct 19, 2026 94.5 / 100 · 4 violations
#7 · Facilities provided, accessible, clean, good repair −1
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet in need of cleaning in one resident room. Observed hand sink filled with items in utility room. Keep hand sinks free of items so that they are accessible.
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed broken paper towel dispenser in soiled utility room and no soap in clean utility room. Observed broken paper towel dispenser in room 101 and 212. Ensure hand sinks are supplied with soap and paper towels at all times and keep paper towel dispensers in working condition.
#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 above 116F rooms 404, 101, 106, and 212. Observed hot water below 105F in rooms 406, 801, 805, 704, 705, 502, and 602. Ensure hot water is between 105-116F.
#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 microwave and reach-in coolers in all satellite kitchens with food debris and buildup. Keep clean.
Apr 1, 2026 96 / 100 · 4 violations
#7 · Facilities provided, accessible, clean, good repair −1
REPEAT:
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed slow draining at hand sink in the room 704, 508, 608, 305, 209, women restroom front hallway, need repair. Observed disrepair faucet in 808 needs repair. Ensure to keep hall hand sinks in good repair. Keep all handwashing sinks in good repair. Point remain the same.
#8 · Toilet rooms free of storage, handwash signs posted
General Comment:
.1312 (b) Bathrooms shall not be used for storage of items not currently in use.- Observed walkers stored in the spa on 100/200 hall. Ensure to only store bathroom related items in the spa at anytime.
#10 · Handwashing facilities properly located and equipped
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels at hand sink in clean/ soiled utility room 300/400 service hall, room 402, 700/800 service hall soiled utility room. Ensure to supply all handwashing sinks washing supplies at all hand sinks at all times.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water temperature measured more than 120F on half of the building (100/200 & 300/400 hall), and the other half of the building measured in their 90F (500/600 & 700/800 hall). At the salon sink measured 128F, Room 202, 209, 108, 402, 407, 305, 309, spa measured between 122F- 128F. Rehab room measured at 137F. Room 503, 508, 604, 608, 704, 709, 808 measured between 89F- 99F.
NOTE: The facility shall provide tempered water range between 105- 116F at anytime.
Oct 29, 2025 96 / 100 · 2 violations
#7 · Facilities provided, accessible, clean, good repair −1
REPEAT:
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed slow draining at hand sink in the room 311, 501, 608, 707, 800/700 restroom hallway, women restroom main hallway. Observed disrepair faucet in 808, loose toilet seat in women restroom main hallway. Repair needed. Ensure to keep hall hand sinks in good repair.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water temperature measured at 132F in woman/men restroom main hallway, 130 in men restroom main hallway and room 301, 117F in room 105, 125F in room 212, 118F in service hallway sink, 119F in room 202, 128F in room 311, 124F in room 406, 125F in room 212, 104F at sink in 500/600 hallway, 101F in room 501/508/704/707, 99F in room 608. Provide tempered water range between 105- 116F at anytime.
Jun 26, 2025 97 / 100 · 3 violations
Inspector comments: NOTE:
- Maintenance: Bennie Ross present during inspection.
#7 · Facilities provided, accessible, clean, good repair
General Comment:
.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 slow draining at hand sink in the room 808, 706, 405, 106, 209. Observed loose/disrepair faucet in 407, staff break room 100-200 hallway, and rehab room. Repair needed. Ensure to keep hall hand sinks in good repair.
#10 · Handwashing facilities properly located and equipped
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed in all med room hand sinks. At least one of the two soap and paper towels dispenser is working. Maintenance director stated, the facility is changing out a new type of dispenser. While doing that, please ensure all hand sinks are supplied with soap, paper towels and running water for proper hand washing at all time.
#16 · Hot water between 105°F and 116°F −3
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water range between 118F -132F. The hottest temperature at 132F in the salon and that hallway. 118F- 123F (back hallway, 407, 405, 308, 106, restroom front hallway, 808, 706, 508. Ensure to provide hot water temperature range between 105- 116F.
Dec 27, 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 scuffed walls in multiple resident rooms. Repair. Observed baseboards peeling away from wall in room 302. 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 at 99-101F in 2 resident rooms on 600s/700s hall. Adjust hot water temperature. REPEAT *No point increase due to improvements in water temps from previous inspection.*
#38 · Food service equipment and utensils clean, good repair −1
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed food service equipment in activity kitchens with food debris buildup. Observed food debris in mini fridge in room 302. Keep food service equipment clean. REPEAT
#40 · Handwash lavatory provided and properly equipped
.1320 (c) Any area where food is portioned, served, or handled shall be equipped with a handwashing facility with a hot and cold mixing faucet, soap, and single-use towels or a hand-drying device. Observed no paper towels at handsink in 300/400s hall activity kitchen. Keep handsinks stocked with soap and paper towels at all times.
Jun 21, 2024 96.5 / 100 · 5 violations
Inspector comments: NOTE:
Maintenance: Bennie Ross present during the inspection
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed (med rooms, clean linen room) hand soap dispenser is not dispensing soap, some of paper towels dispenser is jammed. The issue was fixed at the time of inspection. Ensure all hand washing supplies are ready and available when installed for proper hand hygiene at all hand sinks at all time.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used
General Comment:
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions.- According to a housekeeper, when asked about the contact time for cleaning solution, minimum knowledge demonstrated of how to use sanitizing/disinfecting for effective cleaning. Education provided with housekeeper and maintenance personnel. Obtain correct information about contact time for type of chemical use in order to clean effectively throughout the facility. Provide education to cleaning staff and ensure cleaning effectively.
#16 · Hot water between 105°F and 116°F −1.5
REPEAT
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.- Observed hot water temperature measure at 120F -136F at hand sink (500-600 hallway sinks, room: 503, 602, 701, 706, 804, 803, restroom 700-800 hallway). Ensure to provide tempered water between 105F - 116F.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair
General Comment:
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair.- Observed soiled/mildew of ice machine on surfaces and in the chute. Detail cleaning needed and keep clean.
#38 · Food service equipment and utensils clean, good repair −0.5
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed soiled refrigerators, freezers, and microwaves in all satellite kitchen, the bottom of oven in therapy room. Observed soiled/dust/debris in drawer and cabinets in all satellite kitchen. All food equipment and cabinets pantry need detail cleaning and keep clean.
Aug 18, 2023 98 / 100 · 6 violations
#5 · Ventilation equipment clean, good repair −1
REPEAT
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed air filter in several room throughout the building (room 807, 709, 301, 305, 106, 203) in need of cleaning and maintaining clean.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed a wheelchair stored in the spa room 700-800 hall. Store only permitted items in the bathroom.
#16 · Hot water between 105°F and 116°F
.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 the hand sink in restroom 700-800 hall measure at 118F. The head of maintenance stated, they are in the process of adjusting to the correct temperature. Everywhere else in the building water is within the correct range.
#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled
.1318 (a) Medication carts shall be kept clean. Observed minor crushed pills and residue from the pill packages in the med cart in 700 hall. Need cleaning and keep clean.
NOTE: Observed nursing staff left medicine cart unlock in the hallway while going into residents room and door was closed. Medicine cart was left unlock and unattended.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −1
.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed pillow case with holes on it in room 604.
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled bed sheet in room 807, need to be changed and clean. Soiled green blanket in made up bed in room 106. Need to be changed, clean, and keep clean.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed the facility without vomiting and diarrhea supply kit ready for such an event. The facility need to obtain all supplies as notated in this rule.
Jun 2, 2023 95.5 / 100 · 10 violations
Inspector comments: NOTE:
Observed medication cart left unattended in 300 hall. When asked staff around, no one claimed their cart. The admin person stated that is a wound cart. There are some medication, creams, pill bottle, individual package of needles and sharps in the cart.
Mr. Bennie Ross (head of maintenance) present during inspection.
Mr. Josh Wood (Admin)present at the medication cart/wound cart.
#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 peeling wall paper and ceiling in 100 hall. Need repair/ paint touch up, reseal wallpaper. Keep all in good repair.
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed air conditioning filters in rooms throughout the building in need of cleaning regularly and keep clean.
#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 soiled toilets and or rusted toilet chair in room 402, 604, need cleaning, repair or replace the toilet chair. Keep in good repair.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed wheelchair stored in bathroom 506 and 807.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed broken soap dispenser causing no soap to be available in one of a utility room in main hall, and paper towels dispenser without batteries/broken causing no paper towel to be available in biohazard room in 800 hall. Need repair/replace and ENSURE ALL HAND WASHING SUPPLIES AVAILABLE AT ALL TIME AT ALL HAND WASHING SINKS.
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used −1
.1312 (e) EPA registered disinfectants shall be used in accordance with the manufacturer's instructions. When EPA registered disinfectants are mixed and prepared by institution employees, a measuring device, chemical testing device, or the methods and devices prescribed by the chemical manufacturer shall be used to prepare the concentration of chemicals in accordance with the disinfectant's label and the manufacturer's instructions. Observed cleaning/disinfecting bottles without a label. When asked cleaning staff, no one seems to know how to use the solution properly and the amount of contacting time for effective cleaning. Administrators and head of maintenance person is ordering new bottles and labels, and will train their staff accordance with the manufacturer's instructions.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair −1
.1314 (c) Ice machines, buckets, and scoops shall be kept clean and in good repair. Observed black mildew and pink/brown residue on ice dispenser machines all around wall ice basin and ice shut. Need deep cleaning and maintain clean.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.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 stain/sofa chairs in most rooms and some in common areas. According to head of maintenance, the facility is in the process of replacing those chairs. Observed disrepair side table in room 301. Need to be repair or replace and keep in good repair. Observed stain/very soiled green mattress in room 104, 308, need cleaning or replacement.
#51 · Proper use of restriction, exclusion, and reporting
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. NEW RULE. No point deductions at this time. Provide facility a health employee policy poster at the time of inspection. EHS, head of maintenance person went over the policy and facility will train their staff according to rules.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. NEW RULE. No point deductions. Provide facility with a vomitus and diarrheal poster. Facility will need to obtain a kit for such an event.
Nov 14, 2022 96 / 100 · 3 violations
Inspector comments: NO POINTES DEDUCTED
#28
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed boxes of patient care items on floor in storage room and boxes of blankets on floor in laundry room. '
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed wheelchair scuff marks on walls in multiple rooms throughout facility. REPEAT
#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 rips in mattress in rm 407, 607, and rips in the pillow in rm 307
#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 blanket on bed in rm 705 and a stained sheet in rm 803
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled laundry cart not labeled in laundry room. Same color cart is used for clean laundry.
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 soiled linen carts uncovered in 2 soiled linen rooms.
Jun 15, 2022 98 / 100 · 1 violation
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed scuffed walls throughout resident rooms in need of minor touch-up painting.
Dec 20, 2021 97 / 100 · 2 violations
Inspector comments: NO POINTS DEDUCTED
(#5)
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed intake grates throughout facility having heavy dust collected on surfaces in need of general cleaning.
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls inside (600 hall) equipment storage room with heavy damage in need of repair; Observed walls inside resident room #603 with wall scuffs in need of touch-up paint.
#13 · Lavatory and bathing hot water between 100 and 116 F −1
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 half of the facility having hot water at hand washing sinks inside residents rooms measuring above 116F (118F) and the other half of the facility measuring too low (90-95F) at hand sinks.
May 10, 2021 97 / 100 · 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls damaged throughout resident rooms throughout (scuffs) in need of touch-up painting. Observed closets (lift, maintenance) having wall damage in need of repair.
#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 old debris collected behind shelving of dressers in resident rooms #211, #301.
Nov 20, 2020 98 / 100 · 1 violation
Inspector comments: NO POINTS DEDUCTED
#8
KEEP TOILET FACILTIES CLEAN AND IN GOOD REPAIR; OBSERVED TOILET SEAT IN BATHROOM ON MAIN HALLWAY VERY LOOSE IN NEED OF REPAIR.
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed numerous rooms (janitorial, clean and dirty linen, soiled linen rooms) having wall damage in need of repair / repainting.
Jul 25, 2019 97 / 100 · 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls throughout resident rooms / staff lounge / linen and utility rooms scuffed in need of touch-up painting.
#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 resident chair having numerous stains on cushion in need of repair / cleaning in room #307.
Apr 29, 2019 97 / 100 · 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls scuff in many resident rooms in need of touch-up painting; Observed walls damaged in soil utility rooms and storage rooms in need of repair / painting.
#14 · Disinfectant accessible, properly used −1
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no disinfectant accessible in SPA's.
Sep 13, 2018 95.5 / 100 · 5 violations
Inspector comments: NO POINTS DEDUCTED
#32
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed mattress with torn surface in resident room #803, and mattress with stain in resident room #601. (improvement observed)
#33
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed mattress pad stained in resident room #601 in need of changing.
#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 in resident rooms and bathrooms damaged, scuffed and in need of painting throughout.
#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 toilet chairs soiled and/or rusty in resident rooms #708, #706, and #502.
#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 toilet room having bulk patient contact items stored in basin of shower in therapy/gym.
#11 · Hand sinks used only for intended purpose −1
REPEAT
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed hand sink in laundry room blocked with misc storage in basin. (points not increased due to improvement and different rule number).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed clean linen stored in room with numerous 5 gallon containers of chemicals; observed clean linen stored in clean linen room with patient contact items.
Apr 4, 2018 93.5 / 100 · 5 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#3 - Observed wall damage in the 500-600 hall equipment storage closet, in room 706, and in the restroom of 604. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 - Observed shower chair in need of cleaning in 800 hall spa. Observed bottom of shower chair with soil being stored as clean with plastic wrap over it in 200 hall spa. Observed caulking needed around hand sink in restrooms of rooms 706 and 303. **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)
#15 - Observed wastewater pipes on laundry machines to be directly drained. Provide an air-gap. **Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).
#35 - Observed bed remote in unused room 303 with build-up in the cracks and crevices. Ensure bed remotes are cleaned before resident occupies room. **Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
#12 - Observed no hand soap at the hand sink of the soiled utility closet on 300-400 hallway. Soap was present at all other hand sinks. **Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
#11 · Hand sinks used only for intended purpose −1
REPEAT Observed ice in the hand sinks of nourishment kitchens on the 700-800 and 100-200 hallway. Observed ice and dark liquid in the nourishment kitchen of the 500-600 hall. EHS suggested having a dump bucket for drinks to be taken back to the kitchen for proper disposal.
**Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d).
#19 · Ice protected, dispensed, equipment clean in good repair −2
REPEAT Observed heavy pink build-up on ice machine shoots throughout. Maintenance stated they are cleaned every 6 months when the filters are changed. EHS advised that shoots be cleaned more frequently to prevent such build-up.
**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).
#28 · Adequate storage, area clean, items properly stored −0.5
REPEAT Observed cleaning needed in cabinet of nourishment room on 300-400 hallway where cereal has spilled. Observed boxes of patient care items being stored on the floor of central supply. Items were delivered on Monday, employee in this area is on vacation, ensure someone places patient care items on shelving.
**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).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
REPEAT Observed debris left under the sheet on the mattress in rooms 804, 604, 508, 706, 704, and 204. Beds observed today had already been made by staff. Ensure staff are cleaning debris from mattress before placing clean sheet on mattress. Observed cracking and peeling plastic on pillows in rooms 604, 704, and a ripped pillow being stored as clean in the clean linen closet of 100-200 hall. PIC stated residents do not make their own beds.
**Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a).
**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
Clean bottom sheet needs to be provided to every resident. Observed stain on mattress pad in room 804, soil on comforter and stain on sheet in room 604, stain on sheet in 704, and stained sheet on bed in room 204. Beds observed today had already been made by staff. Ensure staff are removing soiled/stained linen to replace with clean.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
NOTE: Observed missing bottom sheets where residents are sleeping directly on top of mattress in rooms 706 and 804. Facility stated that linen cannot be placed on this type of therapy mattress. Provide documentation from manufacturer.
Jul 11, 2017 95.5 / 100 · 5 violations
Inspector comments: NO POINTS WERE TAKEN FOR THE FOLLOWING:
#3 - Observed wall damage in room 504 and in the equipment storage room on the 500-600 hallway. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 - Observed feces on toilet chair in the bathroom of room 504. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#13 - Observed one room in facility reach 117F at hand sink. No other hot water temperatures reached higher than 106F. **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).
#33 - Observed minor stains on bed pad in room 204 and a stain on sheet in room 504. **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 black build-up around the nourishment station freezers where the gasket seals. **Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).
#43 - Observed patient refrigerator in room 403 without a thermometer. **All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#11 · Hand sinks used only for intended purpose −1
REPEAT Observed ice in hand sinks of nourishment stations. Ensure hand sinks are used for hand washing only and not disposing of ice/drinks.
**Except for the stipulations stated in rule .1312 (d), hand washing sinks shall only be used for hand washing. 15A NCAC 18A .1312 (d).
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
REPEAT Observed no information on back-up water supply plan on how facility will dispose of bodily waste, how dishes will be washed and sanitized, and how food will be prepared.
**Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed pink build-up on ice shoots in nourishment stations.
**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).
#28 · Adequate storage, area clean, items properly stored −0.5
REPEAT Observed single-service cup lids being stored right beside the hand sink on the 500-600 hallway nourishment station. Observed cleaning needed on the exterior cabinets and cabinet handles of nourishment stations and PT kitchen. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). **Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
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#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed debris collecting under sheets on top of mattresses in resident rooms. Observed stains on mattress in room 204 and 504. Observed pillows ripping in need of replacement room 504.
**Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a).
**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
Jan 26, 2017 96.5 / 100 · 4 violations
Inspector comments: NO POINTS:
Remove soap and paper towels from sinks that are not hand sinks (ones labeled hand utensil sinks). ie. OT 2 bowl sink and in the Med Room 2 bowl sinks.
#3: Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed minor damage to many walls and wall corners. Recommend installing corner guards and other means to protect walls and doorways in storage areas.
#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 fixture loose from its base in room 707.
#16: Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). Observed that some of the procedures were a little vague. Elaborate better on protecting ice, coffee machines, drink machines, how human waste is going to be disposed of, etc.
#34: 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 no documentation that laundry is being properly sanitized at a minimum of 50 ppm chlorine OR a 25 minute wash cycle at 160F.
#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 range up to 121F on the 100-400 side of the building, PT and beauty salon. Facility provided water temperature logs where water temps are taken weekly with last one being yesterday. Water temperatures were in proper range until boiler inspector arrived. Corrective action will be readjusting boiler and calling recirc pump repairperson.
#11 · Hand sinks used only for intended purpose −1
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Per discussion with med nurses water from pitcher to fill water cups is from the hand wash sinks. Water for drinking needs to come from a sink that is not a hand sink.
#14 · Disinfectant accessible, properly used −1
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Repeat Non-Compliance: Observed no disinfectant (besides in the tub) in the spas.
#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 storage on floor and in splash zone of hand sinks. Extra pillows stored on floor in room 707. Items/boxes on floor in outbuilding.
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed storage below hand sinks without the slanted board to protect storage from drips.
#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 linens on several beds, the sheets and pillow cases need to be checked and changed if needed when bed is made.
Jun 21, 2016 99 / 100 · 1 violation
Inspector comments: Ashton Brown (administrator) and Tammy Wise (regional administrator) were present during the inspection.
NO POINT DEDUCTION:
8. Observed the toilet seat was soiled in room 606. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
12. Observed no paper towels in supplied in the women's main hall restroom. **Provide liquid soap and disposable towels at all hand washing sinks. 15A NCAC 18A .1312 (d).
18. Nurse stated that the water pitchers used for dispensing medication was only washed weekly. **Clean and sanitize all medication water pitchers at least daily
21. Observed the dumpster door was left open, and litter collecting on the ground in the dumpster area. **Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c). **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).
33. Observed an uncovered/unlabeled mesh container for used hair towels in the beauty salon. **Provide a sturdy covered container labeled "soiled linen" for the salon. **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).
34. Observed very little chlorine in the dispenser system for sanitizing the linen. Ensure that chlorine bleach is always supplied to the washing machines. **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).
36. Observed the microwave with dried food debris in the OT area. **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).
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant available in the spa showers. **Provide disinfectant in each community spa room. **
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
**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).
Oct 29, 2015 98.5 / 100 · 2 violations
Inspector comments: 14. Observed NABC not approved for use in hospitals on label, caregiver stated that disinfectant may be used on bathing facilities. Product has a 10 minute contact time, caregiver stated 5 minutes.Shared bathing equipment that has contact with patient's skin shall be cleaned with detergent and an EPA registered hospital disinfectant between patient uses. See rule .1312 (f).19. Observed ice in unlocked containers not supervised in several units.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 moved to nourishment rooms, keep half doors locked.
#28 · Adequate storage, area clean, items properly stored −0.5
Observed hydroculator pads air drying in bathroom in therapy restroom.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).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed single service cups not covered on medication cart.Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
Mar 9, 2015 98.5 / 100 · 3 violations
Inspector comments: Recommend to remove soap and paper towels at the OT 2 bowl sink and in the Med Room 2 bowl sinks. Paint admin/guest bathrooms (blue ones) with washable paint. Mack Murray present.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed: Storage in the Gym restroom.Toilet rooms shall not be used for storage. See rule .1312 (b).
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Observed: A bedpan in room 804 not properly labeled.Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
#40 · Food brought by employees or visitors handled properly −0.5
Observed: Food not properly labeled in the 700/800 kitchenette fridge.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).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “AUTUMN CARE OF CORNELIUS” or State ID 2060400137). Inspection type (routine vs. follow-up) is not published in the county's data.