ATRIUM HEALTH LAKE NORMAN

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 several hand sinks need better cleaning around the drain, and faucets base. Keep clean. Observed slow draining at sink in CT room, need repair.

REPEAT .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 posted hand wash signs in staff restroom 5th floor, and OR restrooms in the locker. Point remain the same at this time.

REPEAT .1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed no paper towels available in the dispensers in nourishment area on 5ft floor, and at X-Ray sink. Ensure to provide all hand washing supplies at all hand sinks at all times.

.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 posted hand wash signs

.1312 (d) Handwashing facilities shall be supplied with soap and disposable towels or hand-drying devices. Observed hand sinks without paper towels. CDI-paper towels provided. .1312 (d) Handwashing facilities shall be used only for handwashing and shall not be used for disposal of bodily fluids or washing items that are not clean. Notwithstanding the foregoing sentence, handwashing facilities provided for use in a resident's room may be used for personal hygiene, rinsing feeding tubes, obtaining drinking water, and disposal of medications in accordance with the manufacturer's instructions or non-TCS liquids as long as the handwashing facility is kept clean and is disinfected daily. Employees shall be permitted to use handwashing facilities to dispose of medications in accordance with the manufacturer's instructions. Observed several hand sinks with light ring around bowl. Slow drain on hand sink in visitor’s beverage station in maternity.

.1315 (b) Mop basins or mop sinks shall only be used to wash mops and dispose of the water used for mopping. Observed mop sinks with hair and rust. Keep clean so drain smoothly.

.1319 (b) Linens that are not clean shall be placed in a covered container or bag devoted to this purpose at the point of use and stored in the covered container or bag until sanitized in accordance with Paragraph (c) of this Rule to contain and minimize aerosolization of and exposure to any waste products. Such covered containers or bags shall be kept clean between uses and labeled to indicate the contents. Observed soiled linen carts not labeled.

.1320 (c) Any area where food is portioned, served, or handled shall be equipped with a handwashing facility with a hot and cold mixing faucet, soap, and single-use towels or a hand-drying device. Observed a full size refrigerator added in ED, it must be located near a hand sinks.

.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 no thermometer in refrigerator, nourishment area, maternity.