96/ 100
EASTOVER NURSING CENTER
2616 E 5TH ST, Charlotte, NC 28204
Rest/Nursing Homes · NC permit/State ID 2060400159
Latest result96 / 100
Last inspectedJun 25, 2026
Inspections on record13
On record sinceSep 20, 2019
Score history
Sep 20, 2019Higher is betterJun 25, 2026
Inspections & violations
Jun 25, 2026 96 / 100 · 3 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 damaged/cracked tile walls in bathing rooms on West end. Repair.
#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 bathing room with black buildup in shower. Keep clean.
#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 in majority of rooms above 116F. Ensure hot water is between 105-116F.
Oct 30, 2025 95.5 / 100 · 4 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 scuffed/damaged walls and peeling baseboards in various areas throughout facility. Improvement noted. Observed splatter on bathroom door in room 111. Keep clean. 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 loose toilet seat in room 225. Observed buildup/rust around base of toilet in room 122. Observed torn chair in room 122. Observed black buildup in and around floor tile grout and minor buildup on shower head in Bathing room East 2. Keep clean. REPEAT
#28 · No pest presence; effective pest control measures
.1317 (a) Pests shall not be present in an institution's building or buildings. Observed one dead roach in room 111. Keep building free of pests.
#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 torn chair in room 122. Observed very worn wooden furniture provided by facility throughout resident rooms. In need of replacement.
Apr 3, 2025 91 / 100 · 8 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 scuffed/damaged walls throughout facility. Repair. REPEAT
#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 bathroom light fixture not working in room 106. Repair. REPEAT
#5 · Ventilation equipment clean, good repair −1
.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed dust buildup in a/c filters in all resident rooms inspected and several damaged/broken filters. Observed dusty vent in bathing room West 1. Repair/keep clean. 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 toilet in need of cleaning in room 217. Observed loose toilet seat in east bathing room 1. Observed rusted toilet chairs. REPEAT
#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 in soiled utility rooms. Keep hand sink stocked with soap and paper towels at all times. REPEAT Points remain the same.
#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 in all resident rooms inspected above 116F. Ensure hot water is between 105-116F.
#18 · Drinking fountains clean, good repair −1
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed rusted and soiled water fountain in the therapy gym. REPEAT
#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 pill cups stored in container on side of med-cart. Container is not easily cleanable, protect med cups by putting in a clean container or baggie. REPEAT
Aug 21, 2024 87 / 100 · 16 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −2
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 damaged/missing floor tiles in west shower rm #2. Rip in floor in bathroom R119. Observed soiled shower rooms floors throughout the facility need detail cleaning and kept clean.
#2 · Walls and ceilings clean, good repair −2
REPEAT
.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 and stained ceilings throughout facility. Filling up holes in wall and touching up paint on wall throughout the facility needed. Keep all wall in good repair. Observed Laundry room ceiling covered with dusts, needs cleaning. Soiled utility west with mold growth on wall.
#4 · Lighting at least 10 foot candles, 30 inches above floor
.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 light fixtures not working in resident rooms over vanities, keep all light fixtures functional
#5 · Ventilation equipment clean, good repair −0.5
Repeat-.1311 (b) Ventilation equipment shall be kept clean and in good repair. Observed PTAC units in resident rooms with moderate to heavy dust build up in filters.
#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 blocked hand sink in laundry room, keep accessible without having to move carts. Observed loose toilet seat in west shower room #2.Repeat- Observed torn shower bed mattresses, unclean shower bed(s) and mattresses. Rusted toilet chairs.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5
.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 unlabeled and soiled urinals/bedpans in R218, R227, shower room #2 west
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Hand washing facilities shall be equipped with running water and a tempering device. Observed no hot water at hand wash sink in west soiled utility room.
.1312 (d) Repeat-Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.Repeat- Observed no soap or paper towels in med room east, west shower room #2.
#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 incomplete back-up water supply plan.
#18 · Drinking fountains clean, good repair −1
REPEAT
.1314 (a) Drinking fountains shall be kept clean and in good repair. - Observed rusted and soiled water fountain in the therapy gym. Fountain on east hall not draining and backing up.
#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 broken drain plug in dumpster. Replace drain plug.
#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 container near dumpster corral holding water. Keep containers drained to prevent mosquito breeding.
#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 drain flies in both soiled utility room.
#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled
.1318 (a) Food, utensils, medications, and equipment used on medication carts shall be kept clean. Observed pill cups stored in container on side of med-cart. Container is not easily cleanable, protect med cups by putting in a clean container or baggie.
#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. Repeat- Mattresses shall be kept clean, dry, and in good repair. Observed stained drapes and privacy curtains in majority of rooms checked. Many damaged bedside tables. Torn mattress in R218. Torn pillow in R218.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Repeat-Observed torn sheets in R218
#45 · Hot and cold holding equipment provided; thermometers provided, accurate −0.5
.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. Repeat- Observed no thermometer in refrigerator in east med room.
Oct 26, 2023 88.5 / 100 · 16 violations
Inspector comments: NOTE:
Courtni Brown (EHS) and Jaheim Jackson (maintenance) present during inspection.
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
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 damaged/missing floor tiles in east shower 2, east pantry under the refrigerator, in boiler room. Observed soiled shower rooms floor throughout the facility need detail cleaning and keep clean. Point remain the same.
#2 · Walls and ceilings clean, good repair −2
REPEAT
.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 plugs panel came off the wall in 118, damaged wall/missing based boards in 104, 109, 110, 212, laundry room. Filling up holes in wall and touching up paint on wall throughout the facility needed. Keep all wall in good repair. Observed Laundry room ceiling covered with dusts, needs cleaning.
#3 · Ceiling attachments cleanable, clean, good repair −0.5
REPEAT
.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair. - Observed flickering light on west wing hallway. No light in 109, the of restroom 104, and the staff restroom east wing. Need repair or replace.
#5 · Ventilation equipment clean, good repair −1
REPEAT
.1311 (b) Ventilation equipment shall be kept clean and in good repair.- Observed AC filters throughout the building covered with lots of dusts, need detail cleaning. Observed broken/missing AC filters in 221, 225, 109, 121, need repair or replacement.
#7 · Facilities provided, accessible, clean, good repair −2
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 soiled toilet in room 121, 101, the gym restroom need cleaning. Observed rusted toilet chair in west bath 1, 101, gym restroom. Observed loose/damaged toilet seat in 225, front entrance hallway restroom, restroom in the gym. Need repair or replace as see fit.
#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 restroom in the gym need hand washing sign. Hand wash signs emailed at the time of inspection
#10 · Handwashing facilities properly located and equipped −1.5
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no soap in west bath 2. Need refill.
.1312 (d) Handwashing facilities shall be located in an institution in accordance with 10A NCAC 13B .5411, 10A NCAC 13D .3201, 10A NCAC 13F .0305, .1304, and 10A NCAC 13K .1109, .1204, as applicable. Institutions that do not have a handwashing facility located in all areas required by this Paragraph shall not be required to install handwashing facilities if the institution has an approved hand hygiene program.- Observed hand washing sinkis not available for hand washing, it was blocked by food/tray/ supplies in west pantry, plastic bag/items inside the hand sink in west soiled room and Bio hazard room east wing, the bath bed blocked in front of the hand sink in west bath 1. Ensure not to block and provide access for hand washing at all hand sinks at all time.
#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 throughout the facility water temperature some part is within range and some part is up to 120F (room 118, 101, 216, 230). According to maintenance, the facility had an incident with their water heater. This Monday coming up 10/30/23, the company will be out to adjust and ensure the water temperature is within the required range.
#17 · Back-up water supply plan available and complete −0.5
REPEAT
.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 the facility without complete water backup supplies plan. EHS email the checklist for water backup supply plan to maintenance and administrator at the time of inspection. Obtain the complete water backup supply plan for the facility.
#18 · Drinking fountains clean, good repair −0.5
REPEAT
.1314 (a) Drinking fountains shall be kept clean and in good repair. - Observed rusted and soiled water fountain in the therapy gym and soiled water fountain on west wing, need cleaning and keep clean.
#20 · Ice protected and clean; dispensed properly; ice machines, scoops, containers; clean, good repair −1
.1314 (c) Ice shall be protected against physical, chemical, and biological contamination and shall be kept clean. - Observed ice cooler sat outside the pantry room east wing. When asked, staff moved the ice cooler in the lock pantry room at the time of inspection.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
REPEAT
.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 damaged wheelchair armrest in hall, and therapy gym. Tears blue table/bed in therapy gym. Observed damaged pillows in room 230 and damaged mattress in room 101. Need repair or replace.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled blanket/bed covered in room 230. Need cleaning. Observed soiled sheet in room 104, 101, need cleaning.
#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.
- Observed the facility without the record of chemicals that use to sanitize the linens that facility provides. Obtain and keep file of the laundry records.
#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 internal thermometer needed inside the refrigerator in east pantry room.
#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. - Observe the facility without diarrhea and vomiting written procedure/supplies. EHS emailed the poster at the time of inspection.
Jun 14, 2023 93 / 100 · 10 violations
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free −1
Observed cracked tile on floor in environmental room (east). Observed floor in the restroom in need of repair in room 204.
**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 −2
Observed wall damage in room 106. Observed touch up paint needed on baseboards leading to laundry room. Continue to touch up paint throughout facility. Observed splatters on walls in restrooms in room 104
**.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair.
#3 · Ceiling attachments cleanable, clean, good repair
Observed dead insects in the light shield in the restroom in room 204. Needs to be cleaned.
**.1310 (b) Light fixtures, fans, conduits, and heating, ventilation, and air conditioning vents shall be kept clean and in good repair.
#5 · Ventilation equipment clean, good repair −0.5
Observed broken vent in room 106, 204 and 224.
**.1311 (b) Ventilation equipment shall be kept clean and in good repair.
#7 · Facilities provided, accessible, clean, good repair −2
Observed toilet in need of cleaning in room 106, 104, bathing suite (east), 126, and 204. Observed shower beds in need of cleaning in bathing suites (east and west) and observed shower bed torn in bathing suite (west). Observed handwashing sink in need of cleaning in the laundry room.
**.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.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −1
Observed bedside commode in need of cleaning in room 204.
**.1312 (c) Bedpans, bedside commodes, urinals, shared diaper changing surfaces, and emesis basins that have been used by a resident shall be kept clean and shall be disinfected before use by other residents.
Observed disposable urinals not labeled throughout the facility.
**.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident.
#10 · Handwashing facilities properly located and equipped
Observed medication room missing paper towels. Needs to be provided.
**.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.
#17 · Back-up water supply plan available and complete
Observed no back up water supply plan on hand during the inspection.
**.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.
#18 · Drinking fountains clean, good repair
Observed rusted drinking fountain in physical therapy.
**.1314 (a) Drinking fountains shall be kept clean and in good repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
Observed wheelchair arms torn in the physical therapy. Staff informed me that the chairs are not currently being used and would be repaired. Observed torn pillow in room 104.
**.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.
Oct 5, 2022 92 / 100 · 7 violations
Inspector comments: No points were deducted for the following:
2. Keep all flooring clean. 15A NCAC 18A .1309 (a). - Observed floor tile missing in the environmental room on east hall. Observed tile missing in the soiled room on west hall.
5. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). - Observed build up on vent cover in spa east 2. Observed vent filters in need of cleaning 121. Observed light shield missing in the restroom in room 216.
12. Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). - Observed no soap in the med room on east hall. Observed no paper towels in the med room on the west hall.
28. All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). - Observed boxes of supplemental shakes stored on the floor in the back storage room.
35. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). - Observed hair in rollers in the beauty salon. Needs to be cleaned.
42. All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). - Observed milk at 50F and turkey sandwich at 51F in the pantry refrigerator on the east hall. Discarded.
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. - Observed hole in the wall in environmental room on east hall. Observed wall damage in room 112. Observed wall stain in the pantry and soiled room on west hall. Observed wall damage in room 211. Observed ceiling damage in west day room.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). - Observed showed bed in need of cleaning in spa east 2 , west 1 and west 2. Observed shower chair in need of cleaning in east 2.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). - Observed toilet in need of caulking in rooms 116, 130, west spa 1 and room 222. Observed soiled toilet in room 216.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) - Observed slow drain in room 130.
#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 wheelchair stored in the restroom in room 104 and wheelchair parts stored in the spa on west hall.
#10 · Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected −0.5
Label all disposable bed pans with the residents/patients name and date. 15A NCAC 18A .1312 (c). - Observed urinals/bedpans not labeled in rooms 104, 116 and 121.
#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 cabinet floor in need of repair in the pantry on east hall. Observed pillow torn in rooms 216 and privacy curtain stained and in room 222. Observed socket covers missing in the day room on west hall.
#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 linen torn in room 216. Observed soiled pillow case in room 130.
#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 pantry refrigerator missing thermometer on the east hall.
All refrigerators shall maintain a temperature of 45°F or below. 15A NCAC 18A .1323 (b). - Observed food items holding around 50F in the refrigerator on the east hall in the pantry.
Jun 15, 2022 93 / 100 · 4 violations
Inspector comments: No points were deducted for the following:
24. Observed insects in East 2 Bathing Suite.
**Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a).
Inspection emailed to creadus@pelicanhealth-charlotte.com
#3 · Walls and ceilings cleanable, clean, good repair −2
Observed wall damage in room 107 and in the laundry room. Needs to be repaired. Observer busted baseboard tile in East 1 and 2 Bathing Suites.
**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 shower beds in need of cleaning East 1, 2 and West 2 Bathing Suites. Needs to be cleaned.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed toilet chair in need of cleaning in East 2 Bathing Suite. Needs to be cleaned.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#11 · Hand sinks used only for intended purpose −1
Observed trays of food piled on the handwashing sink in the pantry. Ensure that food is discarded after resident’s are done eating and refrain from blocking hand washing sinks.
**Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d).
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Observed water temperature range from 118-122F in rooms 107, 212, 217 and East 1 Bathing Suite.
**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).
Jul 22, 2021 91 / 100 · 5 violations
Inspector comments: No points were deducted for the following:
2. Observed busted tile in the bio room on the west wing. Observed grout in need of cleaning in the shower in Bathing Suite 1 and 2 on east wing.
**Keep all flooring clean. 15A NCAC 18A .1309 (a).
10. Observed solid waste in bed pad in the bathroom in room 225. Needs to be emptied when used.
**All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c).
21. Observed trash in bags on the floor in room 225 and bio room (west).
**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).
30. Observed medication cups stored unprotected on various med carts during the inspection.
**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c).
32. Observed curtains torn in room 203. Observed torn pillow in room 119 and 104. Observed med table torn in physical therapy suite.
**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 −2
Observed touch up paint needed on the 200 hall, laundry room, physical therapy and room 104. Continue to touch up paint throughout facility.
**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 shower bed in bathing suites 1 and 2 on west and bathing suite 2 on east. Needs to be cleaned.
**Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
Observed loose toilet seat in restroom on west wing and bathing suite 1 on east wing. Observed caulking around toilet in need of cleaning in room 116.
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
Observed faucet loose in bedroom116.
#13 · Lavatory and bathing hot water between 100 and 116 F −2
Observed hot water range from 112-123F during the inspection. Hot was was over 116F in various places on both wings.
**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).
#26 · Premises clean, no breeding places or rodent harborage −1
Observed mattresses stored out back on the ground near the dumpsters. Needs to be properly disposed of.
**The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −2
Observed refrigertors and microwaves in the facility in need of cleaning.
**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).
May 26, 2021 92 / 100 · 5 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed touch up paint needed to walls and baseboards throughout facility. Improvements have been made from previous inspection. Observed drapes stained in rooms 103, 116, 121, and 225. REPEAT VIOLATION.
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed bathing mats in shared spa rooms with debris build up under mats. Observed black build up in caulking of shower located in East 2 shared bathing suite.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet in room 225.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b). Observed water pressure low when only hot water is turned on in west 1 shared bathing suite.
REPEAT VIOLATION
#13 · Lavatory and bathing hot water between 100 and 116 F −2
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 117F in room 103. Observed hot water reach 118F in room 116. Observed hot water reach 118F in East Wing shared bathing suite 2. REPEAT VIOLATION
#33 · Linen changed when soiled. Soiled linen handled properly −1
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed staining on bed linen in room 213 and 225.
#36 · Approved utensils and equipment, cleaned and sanitized −1
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed build up in refrigerator located in pantry on East hallway. Major improvement from previous inspection. REPEAT VIOLATION
May 13, 2021 88 / 100 · 9 violations
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATIONS:
#5. Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed dust accumulation to ceiling vent located outside of pantry in room west wing. Clean, Observed AC wall vent with heavy dust accumulation in room 223.
#9. Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheelchairs stored in west 2 shared spa room.
#24. Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). Observed dead cockroach in room 205 and cockroach eggs.
*NOTE: Naly Lor was present during time of inspection with EHS Alexis Welch. Maintenance Director Rico Fourney was present during time of inspection.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed floor tile damaged in room 228. Observed floor tile under refrigerator in pantry located on east wing with heavy black build up and in need of repair.
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed touch up paint needed to walls, door frames, and doors throughout facility. Observed wall tile missing in west shared spa 1. REPEAT VIOLATION
#8 · Facilities conveniently located, clean and in good repair −2
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed black build up inside the chalking of shower in all shared spas throughout facility. Observed build up on shower table in west shared spa 2.Observed build up on the under side of shower mat located in west shared spa 1. REPEAT VIOLATION.
#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 at 120F in west shared spa 1. Observed hot water at 85F in west shared spa 2. Observed hot water at 80F in room 223. Observed hot water at 84 in room 213. Observed hot water at 77F in room 205.
#14 · Disinfectant accessible, properly used −2
Observed EPA disinfectant not readily available to bathing areas, disinfectant is housed in supply closet located near laundry room. A cleaning detergent and an EPA registered hospital disinfectant shall be accessible to all bathing areas. 15A NCAC 18A .1312 (f). REPEAT VIOLATION
#19 · Ice protected, dispensed, equipment clean in good repair −1
Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b). Observed ice chest on East and West wing stored unprotected, unattended, and unlocked in main hallways.
#26 · Premises clean, no breeding places or rodent harborage −1
The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). Observed dilapidated furniture stored outside of dumpster area. Observed several bags of trash stored outside of dumpster area.
#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 dressers and furniture throughout chipping. Observed drapes stained in rooms 102, 110, and 228. Observed rolling bedside tables in several rooms chipping (205, 223
Mattresses shall be kept clean, dry, and odor free. 15A NCAC 18A .1319 (a). Observed mattress torn in rooms 205.
#36 · Approved utensils and equipment, cleaned and sanitized −1
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Observed build up on the shelving of refrigerators and freezer in both East and West wing pantries.
Nov 18, 2020 94 / 100 · 5 violations
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATIONS:
#1. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed floor tile damaged in room 223. Observed floor in need of cleaning near bed 1 in room 110.
#17. Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed heavy black build up around water fountain nozzle located in rehabilitation area.
*NOTE: Executive Director Hayden Keziah was present during the time of the inspection. Inspection report emailed to her at hkeziah@pelicanhealth-charlotte.com
#3 · Walls and ceilings cleanable, clean, good repair −2
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls throughout facility and in residents rooms with scuff markings and in need of repainting.
#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 black build up within the caulking of shared shower in 100 unit shared spa room.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet lid to toilet chair broken in room 110.
#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 shared spa room located in 100 block. Points not increased due to disinfectant being in other shared spa rooms.
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). Observed an incomplete backup water supply plan, facility did have some documentation for back up water supply plan however, plan lacked some needed information. EHS emailed Director a template for water supply plan.
#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 staining on bed linen in rooms 208 and 110.
Sep 20, 2019 92 / 100 · 6 violations
Inspector comments: NO POINTS TAKEN FOR THE FOLLOWING VIOLATIONS:
#16. Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f). EHS emailed administrator Joshua Wood a guidance document for the back up water supply plan.
#17. Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed heavy black build up around water fountain nozzle located within therapy center.
#24. Effective measures shall be taken to keep flies, rodents, cockroaches, and other vermin out of the establishment and to prevent their breeding or presence on the premises. 15A NCAC 18A .1317 (a). Observed flies in rooms 111 and 222.
#32. All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed staining to pillows in residents rooms throughout facility (129, 212).
#34. Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed employee drink stored on clean linen cart with clean linen on it inside of general living area on the East Wing of facility.
#42. 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 resident room 111.
*NOTE: Inspection report was signed by Joshua Wood and emailed to jwood@pelicanhealth-charlotte.com
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed severe damage to walls behind beds in rooms 129 and 212. Observed walls throughout facility in residences rooms with scuffing and in need of repainting.
#5 · Ambient air temperature 65 to 85 F, equipment clean −2
Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b). Observed vents in residents rooms throughout with heavy dust accumulation (129 and 212). Clean.
#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 black build up around the grout of toilets throughout facility. Clean. Observed pink build up inside of toilet basin in room 212. Clean.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed the grout in East Wing 1 spa room shower with black and pink build up. Clean/replace grout throughout where black and pink build up is forming.
#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 EPA registered hospital disinfectant inside of any shared spa room within facility.
#26 · Premises clean, no breeding places or rodent harborage −2
The premises shall be kept neat, clean, and free of litter. 15A NCAC 18A .1317 (c). Observed bags of trash outside of dumpster during building inspection. Observed heavy litter around dumpster area. Clean. Observed mattresses, broken dressers, and other pieces of furniture no longer in use stored within dumpster area. Remove all dilapidated furniture and clean around dumpster area.
#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 staining on bed linen in rooms 129, 212 and 222.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “EASTOVER NURSING CENTER” or State ID 2060400159). Inspection type (routine vs. follow-up) is not published in the county's data.