99/ 100
ASBURY HEALTH AND REHABILITATION CENTER
3211 BISHOPS WAY LN, Charlotte, NC 28205
Rest/Nursing Homes · NC permit/State ID 2060400148
Latest result99 / 100
Last inspectedJul 9, 2026
Inspections on record18
On record sinceNov 22, 2017
Score history
Nov 22, 2017Higher is betterJul 9, 2026
Inspections & violations
Jul 9, 2026 99 / 100 · 2 violations
Inspector comments: *NOTE: EHS, Ericka Jolley, was present during time of inspection. Report emailed to the following:
Nelsonm@aldersgateliving.org
Elisem@aldersgateliving.org
ericj@aldersgateliving.org
#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 touch up paint needed to walling throughout center to include storage rooms and utility areas.
#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 1 bed tray peeling in room 321. -General comment.
Feb 5, 2026 98 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair −1
Observed wall damage in room 409. Needs to be repaired.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
Observed recliner peeling in activity room in household 1 and in rooms 102 and 315.
**.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.
Aug 7, 2025 97.5 / 100 · 3 violations
#2 · Walls and ceilings clean, good repair −2
Observed water staining on the ceiling in the equipment storage room in household 1. Observed wall damage in room 511. Observed water stained tile in storage closet. Touch up paint needed in common areas.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#16 · Hot water between 105°F and 116°F
Observed water temperature at 121F in rooms 116 and 120. GENERAL COMMENT
**.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.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
Observed surface of floor pad beginning to split in the equipment storage room in household 1. Observed footboard peeling on the bed in room 120. Observed surface of mattress peeling in rooms 120 and 212.
**.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.
Jan 7, 2025 97 / 100 · 3 violations
Inspector comments: Inspection led by Niejel Wilkins.
#2 · Walls and ceilings clean, good repair −1
Observed wall damage in room 409.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
Observed feeding tray peeling in room 208.
**.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.
#44 · Time/Temperature Control for Safety (TCS) foods maintained as required −2
Observed puréed food in microwave at 90F in Windsor. Ensure that all food is being kept cold (41F or below) or hot (135F or above). Food shall be placed in refrigeration to be properly cooled.
**.1323 (a) All TCS food shall be maintained at temperatures required by Part 3-501.19 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2653 during storage, preparation, transportation, display, and service of the TCS food.
Aug 21, 2024 97.5 / 100 · 6 violations
#2 · Walls and ceilings clean, good repair −1
Observed touch up paint needed behind chairs in some of the general sitting areas in the neighborhoods.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#7 · Facilities provided, accessible, clean, good repair
Observed under side of toilet chair stained in room 404.
**.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.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
Observed torn pillows in room 413 and 604. Observed underside food tray soiled in room 413. Observed chair in general area (400) in need of repair and recliner in need of cleaning. Observed surface of mattress worn in room 507. Observed paneling missing on counter in laundry room (500).
**.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.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
Observed linen stained in room 404. Observed pillow case stained in room 507.
**.1319 (b) A resident's bed linens shall be changed when no longer clean.
Observed torn sheet in room 604.
**.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears.
#36 · Laundry area and equipment kept clean
Observed interior of washing machine in need of cleaning (Windsor).
**.1319 (e) Laundry areas and equipment shall be kept clean.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated
Observed container of food missing label in the refrigerator (Midwood).
**.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.
Jan 31, 2024 98 / 100 · 3 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −2
Observed floors in need of cleaning in trash/soiled linen rooms. Observed carpet staining in Dilworth common area.
**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.
#2 · Walls and ceilings clean, good repair
Observed ceiling in need of paining near the trash room in Dilworth.
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#8 · Toilet rooms free of storage, handwash signs posted
Observed toilet chair stored in the central bath near household 3.
**.1312 (b) Bathrooms shall not be used for storage of items not currently in use.
Jul 5, 2023 98.5 / 100 · 4 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 underneath 2 compartment sink in Belmont in need of cleaning.
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. - Observed toilet chair torn in room 509. Chair was removed and replaced during the 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 119F in the hallway restroom.
#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 laminate missing at the hand washing sink the laundry room in Belmont.
Dec 12, 2022 95.5 / 100 · 12 violations
Inspector comments: Note: Blood drawing equipment that is clean should not be stored in soiled utilities. This room is for soiled items only or possibly an enzyme cleaner for pre-cleaning of medical equipment.
In medication storage room (the one without a hand sink) is for storage only, no opened medications or containers.
Nail clippers cannot be used for more than one patient.
#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 floors need sweeping/vacuuming in locked areas including behind doors, throughout.
#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 walls need repairs where soap dispensers have been changed out. Repair scuff marks from wheelchairs and chairs in common areas.
#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 shower chairs and toilet chairs the need cleaning on the undersides.
#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. Staff bathrooms or common bathrooms staff use must have hand wash signs.
#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 several emesis basins that’s needed cleaning in several rooms.
.1312 (c) Institutions where bedpans, bedside commodes, urinals, or emesis basins are used shall provide facilities for emptying, cleaning, and disinfecting bedpans, bedside commodes, urinals, and emesis basins. Observed emesis basins and urinals not labeled throughout.
#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 no disinfectant or disinfecting instructions posted for proper cleaning of spa with pump
#17 · Back-up water supply plan available and complete
.1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed incomplete back-up water supply plan that does not account for bathing or bathroom waste disposal.
#19 · Multi-use utensils for service of ice and water cleaned, sanitized, good repair; single use utensils not reused
.1314 (b) Disposable, single-service utensils shall be used by only one person. Observed drinking cups in rooms not labeled. cover cups in dispenser with no lid in PT room.
#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled −1
.1318 (a) Food, utensils, medications, and equipment used on medication carts shall be kept clean. Observed hand sanitizer stored on sharps containers of med carts. Store elsewhere. Debris in bottom of bags holding pill cups and drinking cups.
#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 stained chairs in common areas throughout. Some swivel chairs in common rooms with torn arms. Torn covering on PT equipment in PT room. Salon needs good general cleaning. Mattress frayed in room 202 . Rusted toilet chair room 607. Damaged tables, 400 hall. Broken recliner room 111. Storage cabinets need cleaning/wiping out in locked areas.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. Observed soiled linen cart not labeled in dirty side central laundry.
#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 facility is going to assemble kits with written vomit/diarrheal plan/cleaning instructions for each neighborhood.
May 12, 2022 98 / 100 · 2 violations
Inspector comments: No points were deducted for the following:
3. Observed wall scuffing due to furniture during inspection. Needs to be repaired.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
35. Observed hair rollers with hair from previous residents in them. Needs to be cleaned.
**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Observed hot water reach 118F in room 603, 608 and laundry room in Elizabeth. Water temperature needs to be decreased.
**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).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed medication cups stored on med cart with the lips of the cups exposed.
**Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
Jul 19, 2021 97.5 / 100 · 3 violations
Inspector comments: All kitchenware and food contact surfaces of equipment, exclusive or cooking surfaces of equipment, used in preparation or serving of food or drink, and all food storage utensils, shall be cleaned after each use. 15A NCAC 18A .1320 (c). Observed accumulated food debris in microwave in activities of daily kitchen (ADL). Clean and disinfect microwave when visibly soiled.
#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 dirty jets on whirlpool tub in central bath. Sweep dead insects off the floor and clean and disinfect toilets in central bath.
#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 resident's wheel chairs and other items in the toilet in several rooms. Remove resident's items out of toilet.
#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 debris under couch cushions in common areas.
Observed torn pillows in several resident rooms.
May 12, 2021 98.5 / 100 · 2 violations
#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 common living areas that were damaged, paint chipping and are in need of repair. Touch up paint needed in these areas.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed rollers in the salon area contaminated with hair from previous residents. Rollers need to be cleaned in between uses. NOTE: Observed toilet paper rolls stored below chemicals in laundry storage closet (1161). Rearrange items so patient contact items are above chemicals.
Nov 4, 2020 98.5 / 100 · 2 violations
Inspector comments: No points were deducted for the following:
32. Observed two torn pillows in rooms not occupied. Pillows were removed and discarded.
**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).
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed touch up paint needed throughout inspection.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#9 · Toilet rooms free of storage, hand wash signs posted −0.5
Observed wheelchair stored in the spa room. No storage shall be placed in toilet rooms.
**Toilet rooms shall not be used for storage. See rule .1312 (b).
NOTE: Unit were COVID-19 cases are were obmitted during today's inspection.
Feb 28, 2020 96 / 100 · 3 violations
Inspector comments: No points were taken for the following:
3. Observed molding torn in room 612. Needs to be repaired.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
8. Observed stained toilet seat in room 216. Needs to be cleaned. Only one seat stained.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
10. Observed bed pans and urinals not labeled in rooms 113, 104, 216 and 205. Ensure that bed pans and urinals are being labeled.
**Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c).
27. Observed several pet records expired. If animals are no longer coming into facility, remove old records that are expired. If animals are still coming into facility, records needs to be updated.
**Maintain adequate vet records for all animals. 15A NCAC 18A .1317 (f).
34. Observed bags of clean linen stored on the floor in the downstairs linen storage.
**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).
44. Observed box of Ensure stored directly on the floor in Med Prep room on Midwood hall.
**Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in such a manner as to be protected from splash or other contamination. 15A NCAC 18A .1323 (c).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no paper towels at the handwashing sink in the Beauty Shop. REPEAT.
**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed boxes stored on the floor in the laundry room and Nurse storage on Dilworth.
**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 −2
Observed torn pillows in rooms 104, 205 and 301. Pillows were removed. Observed mattress torn on the bottom in room 104. Observed positioning pad torn in Physical Therapy. Observed debris in the foot stand on lift in the equipment storage room on Chantilly. Observed spill in the cabinet in the common area on Dilworth.
**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).
Sep 23, 2019 95.5 / 100 · 4 violations
Inspector comments: NO POINTS:
#8: Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed backsplashes swollen in laundry rooms.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed a couple soiled shower chairs and toilet riser seat.
#14: A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). Observed key to cabinet that stored disinfectant unavailable. Cleaner and disinfectant needs to be accessible.
#26: There shall be no fly or mosquito breeding places, rodent harborages, or undrained areas on the premises. 15A NCAC 18A .1317 (c). Observed drain flies in central shower. Keep P-traps full of water. Fruit flies and drain fly in Room 303. Check resident rooms for spills and old food.
#28: All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed boxes stored on floor of laundry room. Keep cardboard off floor.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed missing soap and/or paper towels in beauty salon, soiled utility room
#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 debris under couch cushions in common areas. Observed torn pillows in many resident rooms. Observed soiled toilet clicker and tray table in Room 505. Replace torn linen cart cover, Chantilly.
#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 linen on beds in several rooms.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Laundry areas and equipment shall be kept clean. 15A NCAC 18A .1319 (b) and .1312 (a). Observed moldy gaskets on 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). Observed common linens not being sanitized. Facility will be switching to Laundry San (80) that must meet the 780ppm Quat. Test strips will need to be acquired that meet that range.
Apr 12, 2019 98 / 100 · 1 violation
Inspector comments: No demerits were issued for the following:
9. Observed wheel chairs stored in bathing room. Ensure that only bathing equipment is being stored in the bathing rooms.
**Toilet rooms shall not be used for storage. See rule .1312 (b).
33. Observed brown stain on bed in room 512. Bed was recently made. Ensure that linen is removed.
**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
NOTE: Back up water supply template included with email. Needs to be updated.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −2
Observed torn pillows during inspection. Ensure that cleaning staff are checking for torn pillows when making up beds. REPEAT
**All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
Nov 30, 2018 97.5 / 100 · 3 violations
Inspector comments: No points were deducted for the following:
44. Observed box of nutritional supplement drinks stored on the floor in room in resident's room. Items were removed and placed on shelving in the closet.
**Containers of food shall be stored above the floor, on clean racks, dollies, slatted shelves, or other clean surfaces in such a manner as to be protected from splash or other contamination. 15A NCAC 18A .1323 (c).
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed medication cups stacked too high in plastic bags on med cart, exposing the lip of the cups on Midwood Hall. Ensure that the lips of the cups are protected.
**Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).
Observed personal drinks stored on med cart. Ensure that personal drinks are not being stored on med carts.
**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed torn pillows in rooms 216, 309, and 506. Pillows were 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).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed hair still in rollers in the beauty salon. Needs to be thoroughly cleaned after use.
**Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
Jan 29, 2018 97.5 / 100 · 3 violations
Inspector comments: No points:
33. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. See rule .1319 (b). Observed tore linen in Midwood 107. Observed soiled linens in Midwood 107 and Windsor 416.
Inspection led by Samantha Pepper, supervised by Jamil Blackmon.
#8 · Facilities conveniently located, clean and in good repair −1
**Keep all toilet equipment clean and in good repair. See rule .1312 (b). Observed soil toilets in Midwood 107, Chantilly 308, therapy room, and Windsor 416. Observed loose toilet seats in Chantillie hall bathroom, Midwood hall bathroom, and Windsor hall bathroom.
#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 linen and pillows not protected in clean linen rooms. Linens shall be covered since
non-linens stored in room.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
**Patient contact items shall be kept clean and in good repair. See rule .1319 (c). Observed curlers in the beauty shop with hair on them. Observed torn pillow in Windsor 416.
Nov 22, 2017 96 / 100 · 4 violations
Inspector comments: NO POINTS:
#33: Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled laundry containers not labeled in beauty salon and faded in other areas.
#35: Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed several torn pillows that had been brought from the hospital as resident belongings. Replace when plastic cover is torn. CDI-all pillows removed.
-Need shatterproof or covered bulbs in main supply room where food/beverages are stored.
-Need documentation from company that makes the Med-Pass regarding storage and shelf life once opened.
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed several hand sinks with either no soap or paper towels. Check to make sure soap and towel dispensers are working properly, defective soap dispenser and dead batteries in paper towel dispenser. Make sure all hand sinks are equipped with soap and paper towels including in resident rooms.
#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 in bathing suite.
The manufacturer's instructions shall be followed for cleaning equipment with pumps. See rule .1312 (f). Observed cleaning instructions no posted for disinfection of tub in bathing suites.
#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 large containers of water stored on floor in PT. Store all food at least 8 inches above floor.
Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A
-NCAC 18A .1318 (a). Observed storage and boxes stored on floor in several areas.
#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 linen and pillows not protected in clean linen rooms. Linens shall be covered since non-linens stored in room.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “ASBURY HEALTH AND REHABILITATION CENTER” or State ID 2060400148). Inspection type (routine vs. follow-up) is not published in the county's data.