THE LAURELS IN THE VILLAGE AT CAROLINA PLACE

General Comment: .1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.- Observed bathroom ceiling need repair in room D104, sinks need cleaning and keep clean in Discovery room, slow draining at hand sink in storage room B hall need repair. Keep clean and good repair.

REPEAT .1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. - Observed hot water temperature measure at 98F in E, B apartments, 102F in C207. Ensure to provide tempered water between 105F -116F throughout the facility at anytime. Point remain the same at this time.

Observed stained toilet seat in the spa on E-Hall. Needs to be cleaned. GENERAL COMMENT **.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair.

Observed hot water reach 120-122F in rooms A211, B101 and C205. **.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.

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 carpet stains in some areas throughout facility. Observed sticky bathroom floor in need of cleaning in room A111.

.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 buildup on shower head in room D209. Observed loose toilet seats in room A289. Observed buildup on underside of shower chair in room A101. Observed toilet in need of cleaning in room A111.

.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 chairs in Bistro room. Replace/repair. REPEAT

.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed microwave and mini fridge with food debris in room A111. Keep food service equipment clean.

.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 chairs in activity room on first floor. Repair/replace. 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 ceilings needing to be repainted/touched up on 2nd floor. Note: floor is under construction. No resident on the entire floor.

.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. Replace or supply back up water supply plan. REPEAT.

.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed water fountain clogged in rehab room on 2nd floor.

.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 chairs in large activity room on 1st floor. Observed stained chair pad in room B101.

.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 storage on floor, dust and debris around boxes. Observed staining on 1st floor ceilings in several areas.

.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 hopper without any water and had scale build-up. Keep hopper functional, clean (on a regular cleaning schedule) this will also help eliminate sewer gas smells.

.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed no hand wash signs posted in common bathrooms. CDI-gave 4 handwash signs.

.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water at 95F in room C203. It was only in the shower and the kitchenette hand sink, the bathroom hand sink met >105F.

.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 backup water supply plan.

.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 A214 and D105. Need cleaning

.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 soiled drawer in salon. Needs cleaning.

Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling stained on first floor hallway around the restrooms near the living rooms. Observed damaged ceiling above the shower in room # B105.

Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed bathmat in the shower with black residues in room C206. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed rusted extended toilet handles , and soiled toilet seat in room # C206 Observed soiled toilet in room # A114.

Observed rust on toilet seat rail in room C206. Observed stains on toilet chair in room B205. Observed residue on shower head and stains on toilet in room B104. Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).

Observed stained sheets in room B205. Repeat.

Observed stained shower curtain in room B205. Observed stains in bathroom sink and on toilet railing (rust). Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b)

Observed torn cushions on multiple chairs in 1st floor activity room. 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 mattress pad, pillow, and pillow case in room B205. Repeat. Other rooms had clean linen on beds. Did observed improvement. 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 wall damage throughout facility, specifically in unoccupied rooms. Wallpaper was peeling throughout facility. Observed hall near room B206 stained ceiling with paint peeling PIC stated that the unoccupied rooms are to be renovated. Suggested touch up painting in these areas.

Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed loose toilet seats in rooms C209, B110 and in the spa on the 2nd floor. Observed rusted toilet seat risers in room B205 and throughout the facility.

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 water temperatures above 116F in rooms B205, D212, D214, C205, C hall restroom and multipurpose room on 2nd floor. Observed the downstairs bistro area and room D105 water also registering above 116F.

Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). Observed stained sheets and pillows in room A108, stained mattress cover in B205, E204.