98.5/ 100
NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER
10030 GILEAD RD, Huntersville, NC 28078
Hospitals · NC permit/State ID 2060410024
Latest result98.5 / 100
Last inspectedJun 9, 2026
Inspections on record22
On record sinceAug 27, 2013
Score history
Aug 27, 2013Higher is betterJun 9, 2026
Inspections & violations
Jun 9, 2026 98.5 / 100 · 3 violations
Inspector comments: NOTE:
EHS: Ponpasert, Natalie and the Hospital Administrative Team were present during inspection.
#10 · Handwashing facilities properly located and equipped
General Comment:
.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices.- Observed no paper towels available at hand sinks in OR and nourishment room in ED. Paper towel was provided at the time of inspection. Ensure to provide all hand washing supplies at all hand sinks all time.
#38 · Food service equipment and utensils clean, good repair −1
REPEAT
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observes multiple refrigerators in nourishment room throughout the facility need cleaning. Keep clean.
#43 · Food brought into the institution by employees or visitors of patients or residents properly stored, labeled and dated −0.5
.1321 (b) Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply as described in rule .1321 (a). Such food shall be labeled with the name of the resident or employee that the food belongs to and the date the food was brought into the institution. Labeling as required by this Rule shall not be required for food items stored in employee-designated or individual residents' refrigerators or rooms.
- Observed food of the individuals in refrigerator in ED nourishment room refrigerator without labeling name and date.
Sep 17, 2025 96 / 100 · 3 violations
Inspector comments: NOTE:
EHS: Ponpasert, Natalie and the Hospital Administrative Team were present during inspection.
#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 hand sinks around basin, faucet, and drain in need of detailed cleaning and kept clean (Radiology, ultrasound, sterilizing process, OR, Post-Op, CT scan, ECHO, ED). Observed damage toilet seat in restroom front lobby ED. Observed slow draining at hand sink in ED nourishment area. Keep all hand sinks clean and good repair.
#16 · Hot water between 105°F and 116°F −1.5
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 measured between 97F- 103F in radiology, ultrasound/ECHO, ED (staff station, staff restroom, patient room 18, hallway restrooms, nourishment area sink). Points remain the same at this time.
#38 · Food service equipment and utensils clean, good repair −0.5
REPEAT
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed soiled refrigerator in nourishment area and clean supply room in ED. Detail cleaning needed. Point remain the same due to improvement.
May 28, 2025 97 / 100 · 4 violations
Inspector comments: NOTE:
- EHS: Ponpasert, Natalie and Hospital administrative team present during inspection.
#2 · Walls and ceilings clean, good repair
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 stained ceiling tiles in 3074 storage room and in 2171 soiled utility. Basement outside family medicine room.
#7 · Facilities provided, accessible, clean, good repair −1
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 looking pink/green mildew around the base of faucet (outside CT restroom, restroom PEDS22, ED-EX23 1227, end of hall restroom of ED green pod). Observed slow draining at hand sink in PEDS22. Observed damage toilet seat in restroom front lobby ED. Observed one of the three restrooms front lobby ED has “out of order” sign posted on door. Observed leaking shower in 3258. Cleaning/repairing needed. Keep clean and good repair. Half point deducted due to improvement.
#16 · Hot water between 105°F and 116°F −1.5
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 measured between 95F- 104F half section of ED. Points remain the same due to improvement.
#38 · Food service equipment and utensils clean, good repair −0.5
REPEAT
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed spills in refrigerators in ICCU and 3369 Nourishment rooms. Observed coffee spills in cabinets under coffee makers with some contaminating disposable pitchers in Nourishment rooms in ICU, 2361, 2116 and 2193. Needs cleaning. Point remain the same at this time.
Nov 13, 2024 96 / 100 · 4 violations
Inspector comments: NOTE:
EHS: Ponpasert and Natalie, Hospital Administrators staff: Allison and the team present during inspection.
#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 in ER, soiled toilet and hand sinks in patient restroom. Soiled hand sink in available clean patient room. Detail cleaning needed and keeping cleaned clean. Observed water pressure need to be adjusted at hand sink in ACU behind staff counter. Observed shower chair with leg caps missing and red tape at bottom of legs in 239. Observed shower chair rusting slightly on leg and leg cap missing in 208. Needs repair.
#16 · Hot water between 105°F and 116°F −1.5
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 measured below 105F throughout the facility. Ensure to provide hot water temperature between 105-116F.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
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 torn couch cushion in 208. Repair or replace needed.
#38 · Food service equipment and utensils clean, good repair −0.5
REPEAT
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair. Observed build up in bottom of refrigerators in Nourishment rooms 2116, 2306, and 2193. Point remain the same at this time.
Jun 25, 2024 97.5 / 100 · 6 violations
Inspector comments: NOTE:
EHS: Natalie and Ponpasert, Hospital staff: Sheila, Alli, Brandon present during the inspection.
#1 · Floors and carpets cleanable, clean, good repair; carpet odor free
1309 (a) and (b) The floors in an institution shall be made of smooth, non-absorbent materials and shall be kept clean and in good repair. When carpet is present, it must be kept clean, odor free, and in good repair.- Observed flooring in supplies closet in ACU need cleaning and tightly up.
#2 · Walls and ceilings clean, good repair
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observe stained ceiling tiles in 3074 storage. Check for leaks and repair.
#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 pink residue around shower drain and shower head in 301. Observed part of shower bench loose in 3277. Observed bolt out of shower chair and shower head dripping in 3279. Observed hand sink was blocked by trash can and a big roller bag at the hand sink in the lab. CDI- Items removed at the time of inspection. Ensure to not block any hand washing sink at anytime.
#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 temperature measured about 101F- 103F (Radiology, ER, MSU2). Observed hot water at 103 in 3247. Observed hot water at 100 in 3251. Needs to be 105-116F.
#38 · Food service equipment and utensils clean, good repair −0.5
.1320 (a) All food service equipment and utensils shall be kept clean and in good repair.- Observed microwaves in nourishment room need detail cleaning and keep clean. Observed build up in refrigerators in Nourishment rooms 3306 and 3374.
#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 refrigerator thermometers not working correctly in 3073.
Sep 15, 2023 98 / 100 · 5 violations
Inspector comments: NOTE:
Hospitals staff: Mr. Dan and Ms. Alli Moody. EHS: Maddie Denoncour and Terry Watson present during the inspection.
#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 ER behavioral restroom, no running water at the hand sink. Observed hand sink was completely blocked by toilet chairs in the ER soiled room. CDI- Items removed at the time of inspection.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) Bathrooms shall not be used for storage of items not currently in use. Observed restroom in OPI without hand washing sign, the hand washing signs provided at the time of inspection.
#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 debris and supplies behind and underneath pull out drawers throughout, need cleaning. Observed old sticker on mattress in ER clean ready patient room. Need detail cleaning as it get clean.
#41 · Food contact surfaces of cooking and baking equipment clean −0.5
.1320 (d) The food-contact surfaces of cooking and baking equipment, including microwave ovens, shall be kept clean. Observed debris underneath microwaves in nourishment rooms throughout. Need cleaning.
#44 · Time/Temperature Control for Safety (TCS) foods maintained as required
.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. Observed one ham and cheese sandwich inside the refrigerator measuring 53F. The ambient temperature of the refrigerator indicating 51F. CDI- Sandwich discarded at the time of inspection.
Sep 29, 2022 98 / 100 · 1 violation
Inspector comments: #3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Continue to touch-up paint throughout where needed if needed(storage room, patients rooms, hallway area and door framing). Wipe/clean scuff marks from lower section of wall and wall guards/protector.
#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 seating covering starting to show wear in ED department. Refurbish or replace seating in ED department showing major wear. Replace (1) nightstand/bedside table showing wear and any other night stand/beside table which varnish is wearing off.. The (1) soiled mattress in ED clean at time of inspection. Wipe/dust top of high fixtures.
#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 turkey sandwiches in heart/vas recovery nourishment refrigeration unit 49F-50F. Turkey sandwiches discarded and discussion with hospital admin and food service management conducted emphasizing the importance of maintaining sandwiches 45F (recommends 41F and below). Admin and food service will be developing a plan to ensure sandwiches are maintain 45F and below (recommending 41F and below).
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2
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 clean stored on top cover of linen bin in common storage. Observed linen bin not covered in common storage room. Observed bed with clean linen present stored in hallway area s on different floor and ED with not protections. Keep linen stored in covered linen bin in common storage area. Place cover sheet over clean linen/beds stored on the hall or just leave mattresses/bed uncovered and provide linen on mattress when needed (patient about to be placed on bed).
Repeat. 6/8/2022 ,8/17/2021
Jun 8, 2022 98 / 100 · 1 violation
Inspector comments: #1. Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Repair floor/ floor threshold at/near entrance to elevator on first floor. Repair flooring near entrance to 3071 clean supply room.
#3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Repair wall behind soiled linen bins in patients rooms and touch-up paint. Continue to wipe/clean scuff marks from walls. Continue to touch-up paint/repaint throughout hallways, rooms and door framing to rooms.
#4. Observed light not working in shower within patient room. Light bulb was replaced in light fixture at time of inspection and light is working.
#8.Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed base corner and floor grout soiled in shower area in bathroom in room 3245. Lower section of shower wall and grout clean in shower area at time of inspection. Replace broken shower wand holder in (1) bathroom/shower within room.
#22. #22. All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d). Clean ground around dumpster area and keep clean at all times!
#35.Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). Replace missing arm rest on wheel chair in lobby area. Refurbish physicals therapy climbing steps which varnish is wearing/worn off
.#40. Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). Observed container of food product not labeled in nourishment refrigeration unit. Have staff or patients to label the food with their name or room number and the date the food was brought into the facility. Container of food discarded at time of inspection.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −2
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 several linen bins in several storage closet not covered. Keep clean linen bins covered in shared storage closet. Repeat.
Aug 17, 2021 99 / 100 · 1 violation
Inspector comments: General Comments:
#3.Keep all walls and ceilings clean and in good repair. See rule .1310.** Observed ceiling leak on first and second floor. Facility maintenance was in the process of addressing leaks. Continue to clean scuff mark from ED patient room 20 and CT/Radiology.
#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. See rule .1319 (a). Observed blood spots on back of lead shields in Cath Lab. Lead shield cleaned at time of inspection.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Observed clean linen bins uncovered in clean supply room on 3rd floor. Keep clean linen bin covered in clean supply room. Observed clean linen placed on top of cover on clean linen bin. Store clean linen covered on clean linen bin and not top cover.
Dec 9, 2020 98.5 / 100 · 2 violations
Inspector comments: General Comments:
#3. Patch hole in wall in storage room on 2nd floor and repaint wall. Touch-up paint throughout where needed if needed. (lower section of wall in hallway area and door framings). Monitor water stained ceiling tiles for any roof or HVAC leaks and replace water stained ceiling tiles.
#8. Observed several hand washing sinks in soiled/bio hazard rooms blocked with equipment, trash, etc. Keep hand washing sinks accessible at all times. Increase the frequency of removing trash and soiled linens from soiled/bio hazard rooms. Items removed from in front of hand washing sinks at time of inspection.
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed mattress damaged in maternity unit. Damaged lower section of mattress removed at time of inspection. Repair damaged chair in room with damaged seating. Continue to replace or refurbish worn head boards in maternity unit.
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
Keep clean linen bins covered in storage closet used for additional storage. Observed several clean linen bins uncovered in shared storage rooms.
Dec 18, 2019 96 / 100 · 3 violations
Inspector comments: NO POINTS DEDUCTED
#9
Keep bathrooms / shower rooms free of storage; Observed storage inside bathroom in (lactation bathroom).
#18
Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Observed numerous water pitchers not labeled throughout.
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed scuffed / damaged walls / Door frames throughout (Radiology, ED, PACU)
#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 broken shower seat in #3248 (maternity)
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) Observed hand sink slow draining in Med room at (Lactation) area; Observed battery dead at paper towel dispenser at (surge overflow).
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed blocked hand sink in soiled utility / Nursing station (Med surge 2).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled linen inside unlabeled containers throughout.
Jun 20, 2019 97 / 100 · 2 violations
#3 · Walls and ceilings cleanable, clean, good repair −2
REPEAT
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed walls, door frames scuffed / damaged in need of touch-up painting throughout.
#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 damaged mattress in patient room #3274 in need of repair / replacing; Observed handle broken / missing from drawer inside OR 3 in need of repair; Observed surfaces (underneath feeding tray) soiled in need of cleaning in patient room #221. Observed soiled cabinets inside nourishment room #2216 in need of cleaning; Counter top with peeling laminate inside soiled utility in ACU.
Dec 4, 2018 96 / 100 · 4 violations
Inspector comments: NO POINTS DEDUCTED
#2
Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed large accumilation of dust debris on flooring in Radiology staff / admin areas in need of cleaning.
#11 Hand washing sinks (USE);
Observed all hand washing sinks in soiled utility, nourishment rooms all converted to (Processing Sinks) to allow dumping of Coffee and ICE.
Per Conversation w / Shawn Blackmon (Supervisor) and Stephen Graham (Manager) it is agreed / determined that hand sinks in Nourishment Rooms will be allowed to dump coffee and ice in the sink as long as the sink remains accessible. Hand washing sinks inside soiled utility rooms that do enzymatic processing are allowed to wet (not soak / submerged) the blue single use towel in the hand sink to put over the pre-cleaned soiled equipment. These hand sinks are to be kept accessible. (ex. Nourishment / Soiled Utility rooms). Moving forward sinks will be converted back into required hand washing sinks for use with the above allowances; soap and towels shall be re-installed.
#33
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled linen bin/cart not labeled 2nd floor (patient room).
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed scuffed walls throughout in need of touch-up painting throughout.
#17 · Water fountains clean, good repair, properly regulated −1
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed mouth guards having build up on surfaces in need of cleaning. Observed 2nd floor water fountains with scale on mouth guards in need of cleaning.
#18 · Drinking utensils properly handled −1
Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Patient pitchers Observed not labeled throughout Second floor.
#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 Nourishment room coolers having food debris splattered on doos and surfaces in need of cleaning (ED) and throughout 3rd floor.
May 8, 2018 96 / 100 · 4 violations
Inspector comments: 1) Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). Observed cracked sloped floor in procedure room 2 in ACU.
2) Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed grout in need of detail cleaning in med surg family waiting bathroom, room 221 bathroom and room 201 bathroom.
3) Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed back splash in mother baby nourishment room separating from wall. REPEAT VIOLATION Significant improvement from previous inspection.
9) Toilet rooms shall not be used for storage. See rule .1312 (b). Observed wheelchair and walkers stored in ICU tub room.
13) 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 below 100F in 2246 of med surge. Water reached 96F and then went back down. Hot water throughout rest of facility was above 100F.
18) Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a). Observed no label on ICU 1 patient water pitcher.
33) 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 linen in rooms 237, and CDU 1217. Observed hole in sheet of room 237.
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 clean linen stored in room 242 comingled with cleaning wipes and single use items. REPEAT VIOLATION Improvement from previous inspection
#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 dried urine at base of toilet in room 6 ACU. Observed hopper in need of cleaning in demise room. REPEAT VIOLATION
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed build up around tub jets and tub caulking in room 304. Observed pink build up on spray arm of shower in room 242. REPEAT VIOLATION
Some improvement from previous inspection.
#11 · Hand sinks used only for intended purpose −1
Except for the stipulations stated in rule .1312 (d), handwashing sinks shall only be used for handwashing. 15A NCAC 18A .1312 (d). Observed ice dumped in nourishment room handsink in med surge 2.
NOTE: Observed many sinks with no signage directing use. Recommendation to hang signs at sinks in order to alert staff as to each sinks appropriate use.
#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 stained pillow in ICU 1. Observed tape residue on bed in ED 9. Observed dresser unlevel and wobbly in room 304. Observed debris build up in med surge 2 nourishment room. REPEAT VIOLATION
Significant improvement from previous inspectoin.
#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 microwaves throughout nourishment and family rooms in need of cleaning. Observed refrigerator in med surge 2 nourishment room in need of cleaning. REPEAT VIOLATION
Dec 27, 2017 96.5 / 100 · 4 violations
Inspector comments: Facility inspection was completed by both Savannah Parker, REHS and Alexandra Hall, REHS.
NO POINTS TAKEN FOR THE FOLLOWING:
#5 - Observed dust build-up on single bathroom ceiling vents in hallways on second and third floors.
#34 - Observed clean linen uncovered in the mother baby storage closet.
#36 - Observed cleaning needed in refrigerators and freezers in nourishment rooms.
#3 · Walls and ceilings cleanable, clean, good repair −1
Observed walls throughout Pre-op and Emergency Department in need of touch up paint or minor patch repair. Observed scuffed walls throughout hallways on first floor.
**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
#8 · Facilities conveniently located, clean and in good repair −1
REPEAT Observed caulking needed on counter by hand sink in mother baby nourishment room. Observed caulking needed behind the sink and slow draining sink in room 3 of ICU. Observed pink build-up on shower heads of room 232 and 223 and pink buildup on shower grout in 232. Observed cleaning needed on the base of the toilet in the second floor restroom. Observed cleaning needed on hopper in soiled utility room in ICU.
**Keep all hand washing facilities clean and in good repair. 15A NCAC 18A .1312 (b)
**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#28 · Adequate storage, area clean, items properly stored −0.5
REPEAT Observed coffee splatter in drawers and cabinets in nourishment rooms. Observed debris in drawer of room 232.
**Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed furniture with residue in third floor breast feeding room. Observed mattress with staining in room 232. Observed torn baby mattress in mother baby nursery. Observed cleaning needed under the sink in third floor NICU nursery.
**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).
Apr 27, 2017 97.5 / 100 · 3 violations
Inspector comments: No Points:
#19: Observed screws in ice chute machines.
**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC
18A .1314 (b).
#3: Observed stained ceiling tile in 3rd floor recovery room. **Keep ceilings clean and in good repair.
#8 · Facilities conveniently located, clean and in good repair −1
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed blocked hand sink in soiled utility room, ED. Breast pump equipment blocking hand sink in nursery.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed broken handle and damaged metal plate in room 305. Caulking and grout needed in tub in room 303.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). Observed shower curtain needs cleaning in room 305.
#28 · Adequate storage, area clean, items properly stored −0.5
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 splatter on interior cabinet and broken shelf on 3rd floor nourishment room. Sanitizer wipes stored above clean linens by room 3252. Sanitizer wipes stored over patient care items on second floor throughout. Observed employee drinks stored with clean supplies in ACU nourishment room.
Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a). Observed bath towels and blankets stored below hand sink in room 3365. Observed pill crusher with residue, ED.
#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 scale base needs cleaning in med room, 3rd floor. Residue on couches inteam member breast feeding room. Mattress foot with small holes in room 15, ED.
Oct 10, 2016 97.5 / 100 · 3 violations
Inspector comments: General Comments NO POINTS TAKEN
#12: Observed no paper towels, med surge 1 - soiled utility room. Jammed paper towel, main nursery soiled utility room. **Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
#38: Observed refrigerator in Labor & Delivery relocated to room without a hand sink. Food cannot be stored where there is not a hand sink. Relocate back to approved nourishment room or install handsink in new room.
#11: Tool stored in hand sink in sterile processing room. **Keep hand sinks free of items.
#8: Observed cracked toilet seat, ER hall. Leak at hopper, ED dirty utility. Broken air jet cover, L & D room 308. **Keep all equipment clean and in good repair.
#19 · Ice protected, dispensed, equipment clean in good repair −1
Observed pink residue in ice machine in ICU and ER nourishment rooms. Screws in ice chute several machines.
**Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .1314 (b).
#28 · Adequate storage, area clean, items properly stored −0.5
Observed slideboards stored touching floor, med surge #2. Clean supplies stored at hand sink, med surge #2. Chemicals stored over clean supplies L & D equipment room and ICU clean storage..
**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#32 · Furniture clean and in good repair. Mattresses clean, dry, odor free −1
Observed soiled mattress stored as clean, PACU. Tear in mattress in behavioral holding room. Rusted bed frame in Room 2246 and 3260. Observed damaged couch in room 308. Soiled couch in Mother's Place.
**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).
Feb 26, 2016 97.5 / 100 · 3 violations
Inspector comments: 3. Observed stained ceiling tiles in hallways near 310 and 3255.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.
17. Observed water fountain on first floor with low pressure.
Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a).
18. Observed pitcher in 2257 not labeled.
Label all disposable water pitchers with the resident's/patient's first name and last name. 15A NCAC 18A .1314 (a).
34. Observed uncovered bed in hallway in hallway on 2nd and 3rd floor hallways
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).
39. Observed no date marks on sandwiches in mother baby nourishment room.
All food and food supplies provided by an institution shall be from sources that comply with 15A NCAC 18A. 2600.
#30 · Medication carts clean, sharps containers affixed, food and utensils handled properly −1
Observed pixis damaged in 2350. Observed pixis collecting residue in main med room on 2nd floor. Observed pixis collecting residue in mother baby on bottom shelf.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed pads and other operating room equipment damaged repaired with medical tape, interior foam stained in OR supply.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).
#36 · Approved utensils and equipment, cleaned and sanitized −1
Observed refrigerator and microwave collecting residue in 2193.
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).
Dec 9, 2015 97 / 100 · 3 violations
Inspector comments: 3. Observed wall damaged in recovery room for c-section on second floor.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.5. Observed vents collecting dust in 3245.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).8. Observed yellow bins blocking access to hand sink in Med Surge soiled utility room.Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a).15. Observed no backflow preventer on removable eye wash station in pharmacy.Cross-connections with sewage lines, non-potable water supplies, or other potential sources of contamination are prohibited. 15A NCAC 18A .1313 (d).30. Observed pixis machines collecting dust on bottom shelf in ICU and Med Surge 1.Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c).43. Observed several thermometers not properly functioning in nourishment room refrigerators, alcohol separated.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed soap dispensers not functioning in 1312 soiled utility, PACU, ER Triage, and Nursery.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 euipmnet items stored on floor in OR clean supply. Observed ointment stored on floor in Med Surge 2 clean supply. Observed single use cups stored uncovered ED nourhsment.Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a).
#31 · Feeding syringes and oral suction catheters handled properly, tube-feeding bags changed per instructions −1
Observed syringe used to prime tube feed stored together and in water.Feeding syringes which are reused shall be labeled with the patient's name and date opened, shall be disassembled and rinsed after each use, and shall be disposed of within 24 hours of first use. 15A NCAC 18A .1318 (d).
May 14, 2015 98.5 / 100 · 2 violations
Inspector comments: 3. Observed stained ceiling tile in x-ray room.Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310.5. Observed vent collecting dust in 310.Keep all ventilation equipment clean and in good repair. 15A NCAC 18A .1311 (b).19. Observed one ice chute collecting residue in 2 med surge nourishment.Ice shall be handled, transported, stored, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A.1314 (b).28. Observed storage bins in central supply collecting debris.Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15ANCAC 18A .1318 (a).32. Observed damaged mattress in ED room 17.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutionsshall be kept clean and in good repair. 15A NCAC 18A .1319 (a).36. Observed cabinet shelves with residue in ED nourishment.All utensils and food contact surfaces of equipment used in the preparation, service, display, or storage of potentially hazardousfoods shall be cleaned and sanitized prior to each use. 15A NCAC 18A .1320 (c).43. Observed no thermometer in refrigerator in 3rd floor nourishment.All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b)
#33 · Linen changed when soiled. Soiled linen handled properly −1
Repeat non-compliance: Repeat non-compliance: Observed 3 soiled linen containers not labeled.Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b) Improvement from previous inspection.
#35 · Patient contact items in good repair, properly stored, cleaned and disinfected −0.5
Observed betadine residue on circumcision board, disposable pad, and on boarder of bed in circumcision procedure room.Patient contact items that become contaminated during use shall be cleaned and disinfected after each use. 15A NCAC 18A .1319(c).
Aug 27, 2014 99 / 100 · 1 violation
Inspector comments: 8. Observed 2 shower heads in second floor patient rooms collecting pink residue.**Keep all bathing fixtures clean and in good repair.42. Observed milk on cart to be delivered to nourishment rooms at 52 degrees. Staff stated that all food is obtained from kitchen and stays on cart until completing the second and third floors, this process takes about an hour and a half. Recommend keeping milk cooled on ice during transport.**Potentially hazardous food must be kept at 45 degrees or below.Matt Cook, REHS and Alex Torres, REHSI present during inspection.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed several linen carts on second floor soiled utility rooms not labeled soiled linen. Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
Aug 27, 2013 98.5 / 100 · 2 violations
Inspector comments: 26. Observed dumpster area collecting trash and debris. **The premises shall be kept neat, clean, and free of litter. See rule. 1317 (c).32. Observed damaged mattress in ACU room 4. **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. See rule .1319 (a).36. Observed debris collecting in several drawers in nourishment room 2116.**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).Matt Cook, REHS present during inspection.Ms. Tonya Blackmon received inspection.
#28 · Adequate storage, area clean, items properly stored −0.5
Observed storage within 8 inches of the floor in outpatient, infusion, clean supply, ed major clean supply. Observed clean fluid machines stored in soiled utility room. Observed pixis machine collecting dust on bottom shelf in 1st floor sterile core. Observed bottled water stored on floor in outpatient infusion. **All patient care or consumable items shall be stored at least 8 inches above the floor. See rule .1318 (a). **Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. See rule .1318 (a).
#33 · Linen changed when soiled. Soiled linen handled properly −1
Observed soiled linen hamper not labeled in room 3243 anti room. Observed soiled linen hamper with linen preventing the top from closing in outpatient infusion restroom. Observed soiled linen on bed outside treatment room with no cover over soiled linen in endo. **Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. See rule .1319 (b).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER” or State ID 2060410024). Inspection type (routine vs. follow-up) is not published in the county's data.