92.5/ 100
MINT HILL SENIOR LIVING
10830 LAWYERS GLEN DR, Charlotte, NC 28227
Rest/Nursing Homes · NC permit/State ID 2060400138
Latest result92.5 / 100
Last inspectedAug 31, 2026
Inspections on record21
On record sinceFeb 19, 2015
Score history
Feb 19, 2015Higher is betterAug 31, 2026
Inspections & violations
Aug 31, 2026 92.5 / 100 · 7 violations
#2 · Walls and ceilings clean, good repair −2
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed minor touch up paint needed walling and baseboards throughout building. REPEAT.
#7 · Facilities provided, accessible, clean, good repair −2
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.
Observed shower chair cracked and stained in central bath. Observed crack in shower floor in bathroom next to 107. Observed 300 central bath shower tile heavily worn. Observed sink and shower chair in need of cleaning in 212 bathroom. Observed shower in need of cleaning in 215 bathroom. REPEAT.
#10 · Handwashing facilities properly located and equipped
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed soap missing in 407 bathroom. Observed no paper towels in 304 bathroom. Observed no papertowels in 300 central bath. Needs soap/paper towels.
#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 120F in activity room bathroom and room 407. Observed hot water at 124F in 309 and 120F in 212. Observed hot water at 126F in 200 hall central bath. Needs to be 105-116F.
#18 · Drinking fountains clean, good repair −1
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed drinking fountains in activity room with broken mouth guard. Needs repair. The facility has the majority of drinking fountains turned off. REPEAT.
#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled
.1318 (a) Sharps containers located on medication carts shall be attached or secured to the medication cart to prevent the sharps contained from spilling. Observed medication cart in hall with sharps container sitting on a side shelf and not secured to the medication cart. Needs to be secured to the medication cart.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food stored in activity room refrigerator not labeled and in refrigerator located on unit 200. REPEAT VIOLATION.
Feb 4, 2026 93 / 100 · 8 violations
Inspector comments: *NOTE: Head of Maintenance, Buddy, was present during time of inspection along with Intern EHS, Isabel Self. Report emailed to administrator, Matthew Hopper, at:
Director@minthillseniors.com
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed minor touch up paint needed walling and baseboards throughout building.
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable AC vents with heavy dust accumulation in rooms throughout building. REPEAT VIOLATION.
#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 cleaning needed to toilet in activity room. Observed cleaning needed to shower in room 209. REPEAT VIOLATION. Improvement made from previous inspection report.
#18 · Drinking fountains clean, good repair −1
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed 1 water fountain in activity room with black build up on drinking nozzle. Clean. REPEAT VIOLATION.
#34 · Linens provided by the institution properly cleaned and sanitized −1.5
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Observed no documentation to verify that notated rule is in compliance. EHS advises facility to start keeping a service report from servicer.
REPEAT VIOLATION.
#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 cleaning needed to shelving of refrigerator in activity room and on unit 200. Observed cleaning needed to dorm style refrigerators located in rooms 210 and 403. REPEAT VIOLATION.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food stored in activity room refrigerator not labeled and in refrigerator located on unit 200. REPEAT VIOLATION.
#45 · Hot and cold holding equipment provided; thermometers provided, accurate
.1323 (b) Hot and cold holding equipment shall be used to maintain the required temperatures for TCS food. Each refrigeration unit shall be provided with an indicating thermometer that is accurate to ±3 degrees Fahrenheit or ±1.5 degrees Celsius. Observed no thermometer in activity room refrigerator. GENERAL COMMENT.
Jul 9, 2025 90 / 100 · 10 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed floor damage in room 302 bathroom. REPEAT. Points reduced due to improvements.
#5 · Ventilation equipment clean, good repair
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed heavy dust accumulation on A/C vents in room 205. Needs cleaning.
#7 · Facilities provided, accessible, clean, good repair −2
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed peeling and damaged shower floors in shower rooms. Observed stained shower curtains in shower room 2, 202, 205, and shower needing cleaning in 106. REPEAT.
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed build up on shower chairs in bathing room 1 and build up in tubs in bathing room 1 and 2. Needs cleaning.
#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 123F at handsinks throughout the building. Needs to be 105-116F. REPEAT.
#18 · Drinking fountains clean, good repair −1
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed drinking fountains in activity room with broken mouth guard. Needs repair. The facility has the majority of drinking fountains turned off. REPEAT.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
.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 minor debris under some cushions on furniture in common areas. Observed damage to dresser drawers in several rooms. Observed build up in cabinets in salon and in cabinet under sink in 202. Needs cleaning/repair. REPEAT.
#34 · Linens provided by the institution properly cleaned and sanitized −1.5
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Director provided service report during time of inspection however report did not detail required information. EHS advised Director to have servicer start to include required information in reports. 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 staff lounge microwave and refrigerator in common area outside 206. Needs cleaning. REPEAT.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food for residents not labeled in activity room refrigerator. REPEAT.
Jan 8, 2025 91 / 100 · 14 violations
Inspector comments: *NOTE: Head of Maintenance Justin was present during time of inspection. EHS Ariel Humphrey was present during time of inspection. Report signed for by: TIffany Kaminski
Report emailed to the following:
Director@minthillseniors.com
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −2
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed laminate flooring lifting in the bathroom by shower near room 112. Observed general cleaning needed to flooring in resident laundry rooms throughout building. Observed floor tiles damaged in employee lounge under vending machines. REPEAT.
#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 walling damaged and baseboard in need of repair behind toilet in room 402.
#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 general cleaning needed to tub and flooring located in shared spa on hallway 400. Observed cleaning needed to several toilets throughout building located in residents rooms. REPEAT, improvement made from previous report.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed disposable urinal not labeled in room 402. -General comment.
#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 not within required range in the following areas: room 402, 54F; room 107, 96F; room 208, 100F. -General comment.
#18 · Drinking fountains clean, good repair −1
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed heavy black build up on the drinking nozzle of water fountain in activity room. REPEAT.
#23 · Solid waste containers properly constructed, covered where required; good repair
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed 1 sliding door opened to outside dumpster. -General comment.
#26 · Premises properly maintained −1
.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed 1 bag of trash stored outside of dumpster area. Observed minor debris/litter surrounding trash. Improvement from previous inspection.
#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 several ants in room 105 on wall and window seal. Observed 1 crawling insect in bathroom near room 112.
#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 heavy debris/trash under removable couch cushions in activity room. Observed general cleaning needed to dresser drawers in beauty salon. Observed cleaning needed to shelving of dorm style refrigerator in room 105.
REPEAT
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on bed linen in room 202. -General comment.
#34 · Linens provided by the institution properly cleaned and sanitized
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Director provided service report during time of inspection however report did not detail required information. EHS advised Director to have servicer start to include required information in reports.
-General comment.
#38 · Food service equipment and utensils clean, good repair −1
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed general cleaning needed to facility provided domestic style refrigerator throughout facility (activity room, fridge on unit 200). REPEAT.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed outside food for residents not labeled in activity room refrigerator, unit 200 refrigerator, and in employee lounge refrigerator. REPEAT.
Aug 2, 2024 86.5 / 100 · 14 violations
Inspector comments: *NOTE: Head of Maintenance, Perry Jones, was present during time of inspection. Report emailed to the following:
Director@minthillseniors.com
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −2
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed general cleaning needed to flooring throughout facility. Observed some carpeted rooms with carpet staining. Observed floor tile damaged in restroom of 107. Observed laminate flooring bubbling in the bathroom outside of room 203. Observed flooring stripped in bathroom of room 402.
REPEAT VIOLATION.
#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 wall damage behind toilet in room 111. Observed wall baseboard also coming off from wall in restroom of room 111. Observed baseboard coming off from wall in bathroom of room 306.
REPEAT VIOLATION.
#5 · Ventilation equipment clean, good repair −0.5
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust accumulation to removable AV vents throughout facility. Observed dust accumulation to wall and ceiling vents throughout building. Observed dust accumulation to ceiling fan in laundry room.
#7 · Facilities provided, accessible, clean, good repair −2
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet throughout facility in residents rooms in need of detailed cleaning (toilet seat with brown build in room 111, pink ring within toilet bowl in room 301, toilet seat with brown build up in room 306). Observed detailed cleaning needed to flooring and toilets in shared bathing rooms located on 400 and 300 hallways.
Observed shower chair rusting in room 111. Observed toilet not operational in room 402.
#8 · Toilet rooms free of storage, handwash signs posted −1
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed pile of linen stored on the floor in shared bathing facility located on 300 hallway. Observed pile of linen with brown debris under it stored in front of toilet located in shared bathing room located on 300 hallway.
#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 no paper towels/hand drying device at handsink in shared bathing room located on 300 and 400 hallways. Observed no paper towels/hand drying device at handsink in the toilet room of room 303.
#18 · Drinking fountains clean, good repair
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed 1 water fountain not working in activity room and 1 with cleaning needed within drinking nozzle.
#25 · Containers and areas clean; sufficient capacity −0.5
.1316 (c) The designated rooms and containers described in rule .1316 (b) shall have the capacity to store the institution's refuse, recyclables, and returnables and shall be kept clean. Observed minor debris behind/surrounding dumpster area. Improvement made from previous report.
#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 black rolling chair armrest peeling in activity room. Observed general cleaning needed under couch cushions in activity room.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on linen in room 105
#34 · Linens provided by the institution properly cleaned and sanitized −1.5
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Observed no documentation with facility to verify that notated rule is in compliance. REPEAT VIOLATION. During time of inspection, service provider was called and facility requested a copy of their last service report(report was not received before EHS left building). EHS advises facility to start keeping service reports onsite.
#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 general cleaning needed to the shelving of refrigerators stored on all units within facility to include activity kitchen. Observed refrigerator unit not functioning on 200 unit.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food not labeled stored in refrigeration units located on 100 hallway.
REPEAT VIOLATION.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −2
.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. Per conversation with management, the kitchen has the required plan/procedure. EHS advised management that building portion of facility needs a procedure plan for notated rule as well. EHS resent facility copy of required plan. REPEAT VIOLATION.
Feb 1, 2024 93 / 100 · 9 violations
Inspector comments: *NOTE: Report reviewed for and signed by Pate Wilkerson. Report emailed to Director at: Director@minthillseniors.com
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed laminate flooring bubbling in employee restroom located in employee lounge. REPEAT.
#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 damage to walling behind and to the left of toilet in room 111.
#17 · Back-up water supply plan available and complete −1
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Facility has template that Mecklenburg County Environmental Health provides but has not answered the questions on document. EHS advises facility to use template to create an effective/accurate back up water supply plan. REPEAT.
#18 · Drinking fountains clean, good repair
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed black build around 1 water fountain nozzle located in activity room.
#23 · Solid waste containers properly constructed, covered where required; good repair
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed 1 sliding door opened to dumpster during time of inspection.
#25 · Containers and areas clean; sufficient capacity −0.5
.1316 (c) The designated rooms and containers described in rule .1316 (b) shall have the capacity to store the institution's refuse, recyclables, and returnables and shall be kept clean. Observed bags of trash/debris surrounding dumpster area.
#34 · Linens provided by the institution properly cleaned and sanitized −1.5
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
EHS was unable to get into laundry area during time of inspection due to employees not being able to locate key that grants access to door. Facility also did not have documentation for required notated rule for commingle laundry. (Facility provides common linens to residents).
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed some food brought into facility for residents not labeled in refrigerator located on unit 100. REPEAT.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −2
.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. EHS emailed director required template procedure. REPEAT.
Jul 5, 2023 91 / 100 · 10 violations
Inspector comments: *NOTE: Head of Maintenance Tony, was present during time of inspection along with EHS, Konya Parker.
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed flooring in toilet room of room 403 lifting behind toilet. EHS advises establishment to repair flooring. Improvement from previous report.
#7 · Facilities provided, accessible, clean, good repair −2
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose toilet seat in shared bathroom between rooms 104-106. Observed soiled toilet in shared bathroom between rooms 104-106. Observed handwashing sink stored in oxygen supply room basin blocked with supplies, EHS advises facility to keep all handsinks accessible. Observed mop sink in oxygen room with brown/pink staining, EHS advises facility to complete detailed cleaning to mop sink. REPEAT VIOLATION.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no handwashing sign at handsink in restroom located in activity room where residents and institution employee’s utilize.
#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 no paper towels at handsink in activity room. Paper towels were supplied to handsink during time of inspection. Improvement from previous inspection.
#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 reach 120F at handsink in resident laundry room.
#17 · Back-up water supply plan available and complete −1
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. EHS emailed facility a template for backup water supply plan. REPEAT VIOLATION.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
.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 blue chair stored in beauty salon with staining. Observed armrest on wheelchair in beauty salon peeling. Observed 1 handle missing to dresser in room 403. Observed debris under couch cushion stored in common area on unit 400. REPEAT VIOLATION.
#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 debris build up inside of microwave in kitchenette located in unit 100. Observed microwave with debris build up in common room on unit 400. Observed detailed cleaning needed to shelving of refrigerator and flooring of freezer stored in kitchenette on unit 200.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Observed food stored in kitchenette’s refrigerators in unit 100 and 200 with no names or dates of when food was brought into institution. REPEAT VIOLATION.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −1
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no procedure or kit within facility for notated rule. EHS emailed Director a reference. REPEAT VIOLATION.
Feb 6, 2023 80.5 / 100 · 21 violations
Inspector comments: Call for reinspection when ready 980-314-1620
Willie Ferguson present during inspection
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair. Observed flooring in disrepair in staff lounge bathroom and bathroom of room 409. Threshold broken room 204. Storage on floor throughout facility, storage needs to be off floor to keep flooring clean.
#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 scuffed walls throughout. Repair holes in walls where soap, paper towel dispensers or shelving have been removed. Observed wall with microbial growth in room 208 (room is under repair).
#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 ceiling fans in common rooms and especially main laundry room dusty
#4 · Lighting at least 10 foot candles, 30 inches above floor −0.5
.1311 (a) The areas interior to an institution's building or buildings shall be equipped with at least 10 foot candles of light at 30 inches above the floor. Observed no lighting in dirty side of main laundry room.
#7 · Facilities provided, accessible, clean, good repair −2
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Repeat- Observed bathrooms need better/thorough cleaning. Buildup under toilet seats and toilet chairs.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. New Rule- Observed bed pans not labeled.
#10 · Handwashing facilities properly located and equipped −3
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Repeat- paper towels missing throughout facility. Replace broken paper towel dispensers. Dispose of bar soap in common areas (residents can use bar soap in their own bathrooms).
#11 · EPA registered disinfectants used according to manufacturers' instructions; approved testing methods and devices used −2
.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 disinfectant being improperly mixed. Only one dispenser in facility, no extra spray bottles, no spray bottle labeling. Disinfectant bottles located throughout facility where staff mixing. All gallon jugs of disinfectant need to be stored in the custodial closet with the mixing dispenser. Use dispenser to proper water to disinfectant ratio.
#12 · Bathing facilities properly equipped, equipment cleaned and disinfected −1.5
.1312 (f) Bathing equipment that has contact with a resident's skin and is used by more than one resident shall be kept clean and shall be disinfected between resident uses. Equipment located within a bathing facility that uses a pump to move water shall be kept clean in accordance with the manufacturer's instructions. Observed shower chairs, flooring, toilets in spa rooms need better cleaning of build-up.
#15 · No cross-connections observed −1
Observed missing backflow preventers on shower wands in several bathrooms.
#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 123F in room 302. Hot water 98F bathroom in nurse’s station.
#17 · Back-up water supply plan available and complete −0.5
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Repeat-Observed no backup water supply plan.
#23 · Solid waste containers properly constructed, covered where required; good repair −0.5
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed doors open on dumpster.
#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 ants in several areas including resident bathrooms.
#29 · Pesticides registered and approved for institutional use, properly handled −1
.1317 (b) Only pesticides that are registered in accordance with 40 C.F.R. 152 and G.S. 143-442 shall be used to control pests. Pesticides shall be used, handled, and stored in accordance with the instructions on the manufacturer's label. Observed household bug spray stored unlocked in memory care kitchenette. Do not store hazardous items where accessible to residents.
#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 debris in med cart drawers.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
.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. Repeat- Observed debris and garbage under chair/couch cushions throughout. Several common chairs missing casters or have wobbly construction. Make sure all furniture is in good repair. Built in cabinets in resident rooms water damaged, several rooms.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed hole in sheet in room 204.
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled linens on beds in rooms 49.
#36 · Laundry area and equipment kept clean −0.5
.1319 (e) Laundry areas and equipment shall be kept clean. Observed main laundry and two resident laundry rooms need cleaning. Dispose of items that are no longer needed/used.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −1
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms. Repeat- Observed staff and resident food in refrigerators without names or dates.
#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- a vomiting and diarrhea kit with above items and cleanup directions are now required.
Jul 26, 2022 88 / 100 · 10 violations
Inspector comments: #5-Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dusty vent in bathroom near med room..
#15-Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d). Observed missing backflow preventers in several bathrooms. Go room to room and install backflow preventer where needed.
#16-Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). Observed no plan. Emailing template.
#33-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 spa room.
#34-Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). Observed laundry areas need cleaning and organizing.
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 maintenance records for the amount of bleach going into wash cycle.
Call 980-314-1620 to request a reinspection
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Repeat-Observed wall scuffs throughout. Ceiling stains and/or moldy in bathroom next to R 112 and closet in living room/kitchenette near room 207. Repair hole in wall behind toilet in bathroom near room 107
#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 tubs need cleaning in MC spa room. Observed several moldy shower curtains, need replacing or laundering.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −3
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Repeat-Observed the majority of hand sinks did not have paper towels available
#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 cleaner or disinfectant in common bathing areas.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed drinks dumped down drain in water fountains. Even through fountains turned off, they still need to stay clean.
#21 · Solid waste stored properly, areas clean, facilities for cleaning −2
Solid waste containers, rooms, or designated areas shall be kept clean. 15A NCAC 18A .1316 (c). Observed dumpster doors open. Sludgy ground near dumpster, lots of trash and larger items that need disposal accumulating around dumpster.
#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 torn mattress in room 108. Repeat-Observed lots of trash under sofa and chair cushions.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
A room or area shall be provided for cleaning patient contact equipment. 15A NCAC 18A .1319 (c). Observed hopper not working and hand sink and hopper blocked by equipment. Oxygen tanks also stored in this room, clean organize room so sinks aren’t blocked and hopper is working properly. Observed all closet spaces need cleaning and organizing. Do not store patient items under sink plumbing.
#40 · Food brought by employees or visitors handled properly −1
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). Repeat Observed refrigerator near room 202 with lots of half consumed food, half empty drink, etc
#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 refrigerator room 108.
Jul 9, 2021 90 / 100 · 8 violations
Inspector comments: No Points Deducted:
14. Per a CNA, after washing a resident, she sprays water on the equipment, sprays the chemical, leaves it on for a minute, then wipes it. Per the manufacturer's instructions, there is a 10 minute contact time. Follow the rule below.
The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f).
Imari Littman present. Report emailed to: director@minthillseniors.com
#2 · Floors clean, carpet clean, dry, odor free −1
Observed debris on the floor in the memory care hall storage room. Clean.
Observed black grout in the 300 hall shower room. Clean.
Observed the vinyl lifting from the floor in room 408's restroom. Repair.
Observed stained carpet in room 201. Clean.
Keep all flooring clean. 15A NCAC 18A .1309 (a).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed stains on the ceilings in the 200 hall common area, around the vent in the oxygen storage room, and in room 111.
Observed brown stains on the wall in the 300 hall restroom.
Observed the paneling detached from the wall in the activity room restroom.
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 buildup on shower curtains and/or chairs in 104's restroom and spas. Observed the tubs in both spas in need of cleaning. *Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed the toilet seat peeling in the MC living room restroom-Replace. Observed a loose toilet seat in the restroom behind the desk (by 200 hall). Observed pink buildup in the hopper. Observed stains on the toilet in room 201. *Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Observed buildup in the oxygen room handsink. Clean. *Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no paper towels at the majority of the handsinks throughout the building. Provide at all sinks at all times.
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 −2
Repeat: Observed water at handsinks ranging from 120F-133F throughout the building except for the memory care hall. Follow the rule below for all sinks.
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).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed debris under several chair cushions in the common areas.
Observed a hole with a spring protruding from it in room 408. Replace.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed buildup in the microwaves and/or refrigerators in the living room/common areas, and the employee break room (inspected because a resident was observed coming out of the break room). 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 a lot of unlabeled, opened, old food in the 200 hall living room refrigerator. All items were removed by Ms. Littman to be discarded. Follow the rule below.
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).
Dec 3, 2020 98 / 100 · 2 violations
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATION:
#3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed minor scuff markings to walls in several residents rooms.
*NOTE: Inspection report was emailed to Executive Director Andrea at the following:
mshl.adm@algsenior.com
#8 · Facilities conveniently located, clean and in good repair −1
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seat in room 206.
#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 hot water reach 88F and 90F in rooms 105 and 106 respectively.
Dec 31, 2019 93 / 100 · 5 violations
Inspector comments: #16. Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
*Inspection report was signed by and emailed to the following email address: mhsl.bom@affinitylivinggroup.com
#2 · Floors clean, carpet clean, dry, odor free −1
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed staining on carpet in room 211 and throughout facility in rooms where carpet is installed.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed soiled toilet seat in memory care unit rooms 402 and 407. Observed soiled toilet in memory care unit shared spa facility. Observed loose toilet seat in room 103. Observed rusting toilet chair in room 208.
#14 · Disinfectant accessible, properly used −2
A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed no cleaning detergent nor EPA registered hospital disinfectant accessible to shared bathing facilities throughout facility.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountains in memory care dining area with build up inside of drinking nozzle.
#43 · Food storage units with thermometers, maintain temperatures −1
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 refrigerators in rooms 103 and 211.
Jan 25, 2019 87.5 / 100 · 9 violations
Inspector comments: 17. Observed drinking fountains in need of cleaning.
**Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed some wall damage throughout facility.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
Repeat
Observed food debris, as well as other buildup on the floors in rooms 301, and 202. Floors in need of cleaning.
**Keep all flooring clean. 15A NCAC 18A .1309 (a).
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed vent filters with heavy accumulation in rooms 214, 102 and 408. Filters in need of cleaning. Observed missing filters in ventilation equipment in room 202.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
Repeat
#8 · Facilities conveniently located, clean and in good repair −1
Observed bathing equipment in need of cleaning. Observed pink, white and orange build up on shower heads, shower seats, and on shower. Ensure bathing equipment is kept clean.
**Keep all bathing equipment clean and in good repair.15A NCAC 18A .1312 (a) and (f).
Observed rusted toilet chair in room 305, observed toilet not working in room 301, as well as toilet chair in need of replacing.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −3
Observed no soap and paper towels in memory care common bathroom, nor at the kitchenett, paper towels and soap not provided in shower room (memory care). Observed no soap or paper towels in laundry room, as well as in 100 hall way bathroom.
**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).Repeat
Observed no water for handwashing in laundry room. Observed sink not plummed. Ensure sink is fixed within 30 day.
**All lavatories shall be supplied with hot and cold running water through a mixing faucet, or with tempered warm water. 15A NCAC 18A .1312 (d).
#14 · Disinfectant accessible, properly used −2
Observed cleaning detergent as well as EPA registered hospital disinfectant not accessable to bathing areas. Observed housekeeping employee ussing a household cleaner in bathrooms, housekeeper stated she only uses clorox spray cleaner.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
Repeat
#28 · Adequate storage, area clean, items properly stored −1
Observed patient care items, such as disposable underwear being stored on the floor throughout inspection. Ensure that disposable items are being stored off of the floor.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
Repeat
#33 · Linen changed when soiled. Soiled linen handled properly −2
Observed bed linen in need of cleaning in 102, 301, 214, 408, and 405.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
Repeat
#40 · Food brought by employees or visitors handled properly −1
Observed resident's food in common refrigerators without proper labeling of names and dates. Ensure food brought in facility is being labeled with residents name and date.
**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food
supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Repeat
#43 · Food storage units with thermometers, maintain temperatures −0.5
Observed no thermometer in refrigerators throughout. Ensure thermometers are provided in each refrigeration unit.
**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
Repeat
Aug 16, 2018 93 / 100 · 7 violations
Inspector comments: No points were deducted for the following:
2. Observed food debris in the closet on the floor in room 203's closet. Needs to be cleaned.
**Keep all flooring clean. 15A NCAC 18A .1309 (a).
5. Observed vent filters with heavy accumulation in rooms 214 and 308. Needs to be cleaned.
**Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
10. Observed urinal missing resident's name and the date in room 203 bathroom. Ensure that urinals are being properly labeled.
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
Observed disposable bed pan in need of cleaning under the handwashink sink outside of room 214. Needs to be cleaned.
**All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).
26. Observed high vegetation growing around dumpters area and debris around outside storage. Observed wasp nest out on patio. Ensure that premises are being kept neat and clean.
32. Observed couch torn in the common area on the 100 hallway. Observed chair in room 308 with brown staining. Needs to be cleaned. Observed one torn pillow in room 203. Pillow was removed.
**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 bathroom in room 214. Needs to be provided in each refrigeration unit if not done so.
**All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed wall bowing in bathroom in common area of Memory Care Unit. Observed ceiling peeling in common area of Memory Care unit.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no paper towels or drying mechanism in the general storage room at the handwashing sink on 200 hallway. Observed no paper towels nor soap at the handwashing sink in the common area on the 200 hallway. Observed no soap in room 404's bathroom. Ensure soap and appropriate drying mechanisms are 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 at 118F in the Spa on the 300 hallway. Observed hot water at 119F in the Spa in Memory Care.
**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).
#14 · Disinfectant accessible, properly used −1
Observed no disinfectant solution in the Spas. Ensure that disinfectant is provided in bathing rooms.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#28 · Adequate storage, area clean, items properly stored −1
Observed patient care items, such as disposable underwear being stored on the floor throughout inspection. Ensure that disposable items are being stored off of the floor.
**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 stained bed linen in rooms 308 and 404. Linen was removed from the bed.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#40 · Food brought by employees or visitors handled properly −0.5
Observed resident's food in common refrigerators without proper labeling like names and dates. Ensure food brought in facility is being labeled with residents name and date.
**Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b).
Apr 20, 2018 95 / 100 · 4 violations
Inspector comments: No points were deducted for the following:
13. Observed water temperature at 119F at handshaking sink in common area on B-Hall. Needs to be reduced.
**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).
14. Observed no disinfectant in bathing spas during inspection. Disinfectant needs to be provided to ensure equipment is being disinfected in between residents. Virex is being used but is not stored in the spas.
**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
33. Observed soiled rag in bathroom on B-Hall, A-Hall and in room 301. Needs to be removed. Observed stained sheet and pillow case in room 301. Needs to be removed.
**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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed water stained ceiling in the common area on B-Hall, C-Hall and the wall bowing in restroom in memory care common area. Ensure that leaks are not ongoing and wall is secured in memory care restroom.
**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 stained toilet seats on the B-Hall, room 301 and on Memory Care unit. Observed rusted toilet chair on A-Hall. Observed build up on shower curtains in bathroom on B-Hall and A-Hall. Observed build up on shower head in bathroom on B-Hall.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
#28 · Adequate storage, area clean, items properly stored −1
Observed personal contact items stored on the floor in room 206, 106 and Laundry Room. Ensure items are being stored off of the floor.
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed torn pillows in storage closet on B-Hall, A-Hall and in spa on C-Hall. Pillows were removed. Observed torn mattress in room 106. Needs to be replaced/repaired.
**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).
Nov 8, 2017 95 / 100 · 4 violations
Inspector comments: No Points Issued:
3. Observed ceiling stain in rooms 114 and 300 hallway near clean linen room. Observed wall covering coming apart from the wall in the bathroom on the memory care hall. Observed wall damage behind bed in room 401 and in bathroom on 200 hallway near the entrance.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#5 · Ambient air temperature 65 to 85 F, equipment clean −2
Observed dust build up on ventilation covers and on filters in rooms 403 and 112. REPEAT NONCOMPLIANCE.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
Observed stained toilet seat and peeling sink cabinet in bathroom near 112/114 bedroom. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
Observed rusting in tub in spa on 400 hallway. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Improvement from previous inspection.
#28 · Adequate storage, area clean, items properly stored −1
Observed patient contact items stored on the floor in resident laundry room, room 112 and the spa on the 400 hallway. REPEAT NONCOMPLIANCE.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed staining on chairs at entrance of facility. Observed torn pillow in rooms 403 and 401. Observed torn fall pad in room 401. Observed torn pillows stored in clean linen closet on 200 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).
Mar 22, 2017 94.5 / 100 · 6 violations
Inspector comments: Escorted by Corrie.
No points deducted: #30-Observed pill crusher on med cart near cafeteria and A wing needing to be cleaned.
#3- Observed wall damage in A wing common area near green chair and ceiling peeling above puzzle table.
#5 · Ambient air temperature 65 to 85 F, equipment clean −1
Observed ac filters dusty in various rooms on all wings.
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).
#8 · Facilities conveniently located, clean and in good repair −1
Observed stained toilet or toilet seat in 303 and 308. Observed sink corrosion on hand sink in room 403. Observed stained showerhead in 203 restroom. Observed toilet used and unflushed in memory care activities.
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)
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Facility must provide/locate back up water supply plan. Example plan emailed.
Observed no backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#28 · Adequate storage, area clean, items properly stored −1
Observed patient care items stored on floor in general storage rooms.
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stained comforter, sheets, or pillow cases in room 402. Observed torn sheet in room 403.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed soiled cloth in shower of spa room of memory care. Observed soiled cloth hanging in shower of shared bathroom near 208.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Nov 9, 2016 94.5 / 100 · 6 violations
Inspector comments: Escorted by Cory.
No points deducted: Observed baseboard tile needing to be resealed to wall in housekeeping closet in A Wing. Observed wall damage on shower in spa room on D Wing.
Observed tears on chair in common area C wing and stain on couch in A wing.
#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 ventilation filters with dust build up in rooms 101, 207, and 308.
#8 · Facilities conveniently located, clean and in good repair −1
Observed stained shower curtains in 101 and 207. Observed soiled toiled in 403.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed patient care items on floor in C wing storage room and in supply closet behind front desk.
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 plastice bags used for water and pill cups soiled. Change often and clean cart where needed.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed stains on pillows, pillowcases, and covers on various beds. Rooms were 104, 101, 403, 402, 207, and 308.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#41 · Milk and milk products comply with 15A NCAC 18A.1200 −1
Observed carton on milk held past discard and expiration date in refrigerator in A wing common area refrigerator.
Milk and milk products shall comply with 15A NCAC 18A .1200.
Apr 25, 2016 96 / 100 · 3 violations
Inspector comments: Ms. Caroline (housekeeping) was present during the inspection.
NO POINT DEDUCTION:
2. Observed the floor with debris in resident rooms 309 and 215. **Keep all flooring clean. 15A NCAC 18A .1309 (a).
4. Observed a light cover was missing in room 108. **Keep all lighting in good repair.
8. Observed one shower chair with black residue on the bottom side of the chair. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed a toilet seat with dried urine in the C wing community shower room. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
14. Observed one in-use housekeeping cart on "D wing" (memory care) was not supplied with disinfectant. Stock all housekeeping carts with disinfectant so that shared showers are cleaned and disinfected daily (each resident has a different shower day). **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).
21. Observed the dumpster doors were left open. **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).
#13 · Lavatory and bathing hot water between 100 and 116 F −2
REPEAT - Observed the hot water was above 116F in several areas: 118F (room 215), 121F (living room), 121F (room 306).
**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 −1
REPEAT - Observed gloves, pillows, and disposable briefs were stored on the floor in some general storage rooms.
**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).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed the exterior patio furniture on B wing was damaged and some patio furniture with pollen and dusty; some resident room furniture with missing knobs and handles; the bathroom cabinet door was broken near 215; and the activity room laminate counters were damged and mended with duct tape.
**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).
Aug 31, 2015 96.5 / 100 · 4 violations
Inspector comments: Jessica Ferraro-Latimer was present during the inspection.#4 - Observed the lighting in a restroom was flickering (near rooms 107. 108, 109), and a light switch cover was missing in the living room of neighborhood A. **Keep all light fixtures in good repair.Observed the HVAC system was not working in part of neighborhood C. The air temperature was about 81F **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). **Ambient air temperatures shall be maintained in the range of 65°F to 85°F. 15A NCAC 18A .1311 (c)#3 - Observed a resident restroom on B hall with missing baseboards and drywall was exposed. **All walls shall be easily cleanable. 15A NCAC 18A .1310. #10 - Observed a urine collection "hat" was not clean in room 302. **Where facilities for cleaning bedpans are not provided in patient rooms, bedpans shall be taken to a soiled utility room and be cleaned and disinfected using an EPA registered hospital disinfectant after each use. 15A NCAC 18A .1312 (c). **All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).-RECOMMENDATION - Observed collection "hats" for urine samples were not labeled (shared resident restroom on B hall, restroom for room 302, and in memory care unit). **Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).#18 - Observed drinking cups were not covered/protected at the entrance/reception area. **Keep all drinking cups covered/protected.#21 - Observed the dumpster doors were partially open, and the dumpster was leaking liquids. Also observed the presence of several flies. **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 a sheet on a resident's bed was soiled (room 111). **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed the hot water was at 121F in the memory care community shower room, and 118F at the living room sink in neighborhood A.**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).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed gloves and sterile items were stored beneath the sink drain in medication room, and items were stored on the floor (with debris) in the activities closet in memory care.**Patient care or consumable items shall not be stored below exposed sewage lines. 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).**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 −1
Observed the resident room 211 had a urine odor, the exterior wooden furniture with chipping paint in neighborhood B, and the exterior carpet was lifting in neighborhood B.**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).**Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Repeat - Observed the microwave with food debris in the activities kitchen. **Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c).
Feb 19, 2015 98 / 100 · 2 violations
Inspector comments: Jim McDowell and Abbey Rauf were present.#1 - Observed the carpet at the entrance was rippled and in need of stretching. **Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b).#3 - Observed a section of wall paper was peeling and the ceiling with moisture damage on D hall. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.#8 - Observed the toilet seat was missing in the restroom near room 206. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). #13 - Observed hot water at the activity room restroom sink was at 86F. Temper hot water at handwashing sinks to 100-116 F. **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).#16 - Observed no backup water supply plan. Issued back up water plan guidance handout. Provide a backup water supply plan that meets all parts of rule .1313 (f)#17 - Observed one water fountain with low water pressure between A and D hall. **Ensure the water clears the mouth guard on all drinking fountains. Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).#28 - Resident handwashing sinks/counters are not approved storage areas. The bottom shelf at all shelving units must be at least 8 inches above the floor.#34 - Provide documentation that the clothes washing machines are sanitizing the linen. **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).
#14 · Disinfectant accessible, properly used −1
Observed no didinfectant available in the D hall community shower room. **Provide an EPA registered; Hospital grade disinfectant in all common shower rooms. Provide locked storage cabinets in the community shower rooms for disinfectant storage if required.**A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed some microwaves with food residue, the refrigerator door shelves were broken in the activity room kitchenette.**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).A care giver stated that the water pitchers were rinsed out with hot water at every shift. **All multi-service utensils shall be washed, rinsed and sanitized between each user using a method listed in 15A NCAC 18A .2619.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “MINT HILL SENIOR LIVING” or State ID 2060400138). Inspection type (routine vs. follow-up) is not published in the county's data.