PARC AT SHARON AMITY

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 tiles damaged in laundry room. REPEAT VIOLATION.

.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed removable vents with dust accumulation in rooms 104 and 105. -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. Observed hot water ranging between 101F-103F in rooms 104, 105, 107, 205, 206, 217, and 218.

.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. REPEAT VIOLATION.

.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 minor litter surrounding dumpster area. Clean. -General comment.

.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 vinyl pillows tearing/slitting in rooms 104 and 105. -General comment.

.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 within facility from their servicer company “Mizer” to ensure notated rule is in compliance as facility washes common linens together. REPEAT VIOLATION.

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 sticky residue build up to flooring in room 204. -General comment.

.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 and doors throughout facility. Slight improvement from previous inspection.

.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 shared bathing room in disarray. Observed general cleaning needed to tub and shower in shared bathing room. Observed cleaning need to toilet in room 106.

.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed clothing stored in shared bathing room.

.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. Director could not locate back up water supply plan during time of inspection. EHS emailed facility template of required procedure plan. -General comment.

.1317 (a) Pests shall not be present in an institution's building or buildings. Observed dead insect on floor in room 100.

.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 residue build up on shelving of dorm refrigeration unit in room 204. -General comment.

.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. Facility did not have documentation for notated rule during time of inspection. -General comment.

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 tiles in need of repair in laundry room.

.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 facility. Observed touch up paint needed to wooden railing located in main walkways within facility.

.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 removable AC vents with dust accumulation in room 206. Clean.

.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed fitted sheet with hole in room 206. -General comment.

Observed floor tile in need of repair in the laundry room. REPEAT **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 touch up paint needed in room 210 and near the sink in room 114. Observed hole for shower head pipe in need of filling in room 113. **.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 loose toilet seat in room 207. Needs to be tightened. **.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.

Observed stained chair provided by the family in room 113. Needs to be cleaned. **.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 floor tile in need of repair in the laundry room. **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 baseboard in need of repair in room 210. **.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 toilet base in need of caulking in rooms 105, 119 and 207. Observed sink leaking in room 105. Observed towel holder in need of repair in room 104. Observed toilet seat loose in room 207. **.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 no paper towels at the hand washing sink in the laundry room. **.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.

Observed floor in need of cleaning near the bed in room 210. **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 vent filters with build up in rooms 111 and 108. Needs to be cleaned. **.1311 (b) Ventilation equipment shall be kept clean and in good repair.

Observed dresser drawers damaged/off track in rooms 111 and 210. Needs to be repaired. Observed staining on box spring in room 108. **.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 linens torn in rooms 108 and 205. Needs to be replaced. **.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears.

REPEAT 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 rooms with accumulated debris on flooring throughout in need of cleaning.

REPEAT .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed hallway bathroom having broken toilet seat in need of repair. (Half point deducted due to improvement).

NO POINTS DEDUCTED 1313 (e) The institution shall have a written plan to obtain a backup water supply in the event that the institution's primary water supply is interrupted for more than four consecutive hours. The written plan shall identify a backup water supply or alternate source of water that provides two liters of potable water per day per resident and institution employee for drinking and potable water for food preparation, hand washing, bathing, cleaning, dishwashing, laundry, and disposal of bodily waste. This may include a plan for relocating residents to a facility with a water supply that satisfies Paragraph (a) of this Rule. If an institution's primary water supply or backup water supply becomes unsafe for human consumption, then the water sources within the institution, such as sink faucets, shall be labeled or hooded to prevent their use, and the administrator shall provide potable water for use by the institution's residents and employees. Observed new manager and ED not able to find back-up water supply plan during inspection. Plan has been observed in past inspections and just needs to be obtained and kept available.

.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 documentation that linen is being sanitized during inspection, (staff stated that information may have left when maintenance staff member left the facility).

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 damaged floor tiles in laundry room and custodial closet 200 hall. Observed storage stored on floor with surrounding floor dirty. Keep storage off floor for easy cleaning. Carpeting to upstairs storage stained, needs cleaning.

.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 bathrooms in resident rooms soiled, need more frequently cleaning/touching up. Observed hand sinks in locked areas soiled, need cleaning. Plumbing leak in staff bathroom, right side. Lifting non-slip strips in shower, room 204.

.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-labeling of bedpans, emetics basins, urinals

Observed no backflow preventers on shower wands in spa room and room 212.

.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 mislabeled spray bottles on housekeeping carts.

.1319 (b) Bed linens that are provided by the institution for use by residents shall be free of holes. Observed torn pillows in room 105. .1319 (b) A resident's bed linens shall be changed when no longer clean. Observed cover on bed soiled, room 105.

.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. New Rule-An employee health policy for all staff is required. Use same policy paperwork as kitchen is using.

.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 clean up plan and kit is required. The kit must contain above referenced materials.

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Continue to wipe/clean walls throughout where needed. Clean walls around toilet paper holders and upon entrance to bathrooms in residents room. Continue to touch-up paint door framing, doors and walls throughout where needed; if needed. Repair lower section of wall near entrance to shower in common bath/spa room. Replaced damaged laundry room door. Observed door damaged near top hinge.

Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed top of PTAC unit (heating and cooling units) soiled and debris present and front of unit dusty. Clean PTAC units in rooms where needed.

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower chairs soiled in several bathrooms. Thoroughly clean holes on seating of shower chairs. Refurbish chip spot in base of shower on 200 hall. Observed shower curtain soiled in residents room on 200 hall. Thoroughly clean or replace soiled shower curtain in residents bathroom. Tighten loose toilet seats throughout in residents bathroom where needed.

Observed wall damage near the headboard and HVAC in room 112. Observed wall stain by the toilet in room 217. Observed baseboard peeling from the wall behind the washing machine in the laundry room. Observed wall stain near the bed in room 213. Needs to be repaired. **Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.

Observed shower surface chipped in room 217. Observed hole in the shower in room 213. Observed hole in shower chair in the spa. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed hand washing sink in need of caulking in room 117. **Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed loose toilet seat in room 209. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

Observed staining on box spring in room 112. Observed dresser handle missing in room 100. Observed dresser handle missing and drawers off track in room 213. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

Observed stained linen in room 100 and stained pillow case in room 213. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed dust and debris in crevice on wall railings throughout. Observed walls, railings, baseboards, and doors throughout facility in need of touch up paint. ***THIS IS A REPEAT VIOLATION*** Observed hole in the wall adjacent to the business office on the left. Repair hole in the wall. Repair loose tip on railing on 200 Hall.

Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Re-attach and re-caulk sinks in room 116 and on 2nd toilet in area leading to 200 Hall. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed dirty shower in room 213. Observed dried blood on shower curtain in room 208. Remove, clean and disinfect shower curtain and replace with clean shower curtain.

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). Water in room 113 tempted at 84F and spa room peaked at 98F. Adjust water temperature to meet compliance.

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 holes in pillow in activity room. PIC replaced damage pillow. Observed dirty and stained pillows in room 208. PIC replaced dirty pillows with clean ones. Observed hole in mattress cover in room116. Replace mattress cover. Observed furniture throughout facility beyond repair. Replace furniture throughout. ***THIS IS A REPEAT VIOLATION***

Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Observed toilet chair ripped on seating and bottom tip missing on shower chair. Repair or replace plastic cushion on toilet chair and replace tip on bottom of shower chair. Observed mattress in room 113 with no mattress pad and fitted sheet on bed. Replace mattress pad and fitted sheet on bed. Observed dried urine stains on toilet seat in room 213. Clean and disinfect toilet seat.

Observed vent filters in need of cleaning in room 119 and 203. Observed build up on vent cover in the bathroom in room 115. Needs to be cleaned. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed shower handle broken in room 119. Observed sink in need of recaulking in room 215. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).

Observed storage room on 200 hall in need of cleaning. Continue to clean room. **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 room on 100 hall with boxes stored on the floor. **All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).

Observed medication cups stored on the med cart not covered. Plastic coverings were provided. **Unused medication cups shall be kept covered or inverted. 15A NCAC 18A .1318 (c).

Observed pillow torn in rooms 119 and 215. Observed bed railing with debris in room 119, in need of cleaning. Observed missing handle on dresser in rooms 115, 215 and 203. **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 floor in need of cleaning in rooms 215 and 214. Strong urine odor. REPEAT. **Keep all flooring clean. 15A NCAC 18A .1309 (a).

Observed handwashing sink loose and in need of recaulking in room 215. **Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed shower chair in need of cleaning in the spa. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed toilet base in need of cleaning in room 215. Observed toilet loose in room 207. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

Observed water fountain broken and leaking on the hallway. Needs to be repaired. **Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).

Observed torn mattress in room 108. Needs to be replaced. Observed mattress staining in room 215. Observed torn pillows in rooms 215, 207 and 108. Needs to be replaced. **All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).

Observed stained linen in rooms 215, 214 and room 108. Needs to be cleaned/replaced. **Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).

Observed resident items stored on the floor in room 207. Items were relocated. **Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).

Observed floor underneaths beds in room 216 in need of cleaning. Observed bathroom floor in need of sweeping in room 208. Observed floor in need of moping in the bathroom in room 112, strong urine odor. REPEAT. **Keep all flooring clean. 15A NCAC 18A .1309 (a).

Observed heavy build up on vent filters during inspection. Rooms 216, 208 and 112. Needs to be cleaned. REPEAT. **Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).

Observed toilet in need of cleaning around the base in room 216 and 112. Observed a toilet seat loose in room 106. **Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).

Observed general storage closet in need of cleaning and arranging. Several boxes stored on the floor. REPEAT. **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 torn pillows in room 208 and 106. Needs to be replaced. Observed torn mattresses in rooms 208 and 112. Needs to be replaced. 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).