NELSON HOME

15A NCAC 18A .1611 (d) Residential care facilities 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 bathroom sink at 119F. Needs to be between 105-116F. No points deducted as item is part of new rule updates.

15A NCAC 18A .1621 (c) Residential care facility employees shall comply with the requirements for exclusion from work and restriction due to communicable disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. Observed facility does not have an Employee health policy for preparing food. EHS provided a copy via email. No points deducted due to item being part of the new rule updates.

15A NCAC 18A .1621 (d) The residential care facility 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 facility 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. Observed facility does not have vomit and diarrhea cleaning plan. EHS provided a copy via email. No points deducted due to item being part of new rule updates.

All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. Tightly secure loose floor transitional molding at entrance to resident room. General comment; Touch-up paint throughout where needed; if needed. Observed resident personal chair starting to show major wear. Contact family and have them to replace or refurbish chair.

Observed paint wearing and worn from interior door framing of bathroom near light switch. Observed where wall was repaired in resident room. Touch-up paint door framing in bathroom and wall where repair work has taken place.

Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b). Observed no paper/individual hand towels at hand sink in upstairs bathroom.

All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a). Observed torn chair covers inside kitchen dining area. Observed dusty blinds in both upstairs and down stairs area. Observed back screen door torn.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed hole in the wall in downstairs bedroom.

The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608. Observed wall in upstairs bedroom in need of touch-up painting.

Observed hole in wall behind bedroom door in room upstairs. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Tightly secure transitional floor molding where flooring in living room meet flooring in closet. Finish installing flooring in upstairs bathroom. Flooring in bathroom is in the process of being repaired and replaced. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Touch-up paint wall and base boards throughout where needed; if needed. Wipe/clean interior of front and back door near door handle. Wipe/clean edge of pantry closet door. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.

Clean area under toilet seat riser. Observed area under toilet seat riser soiled/stained. If underside of toilet seat riser can not be cleaned; replace. Toilet, hand washing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).

Replace stained pillow and repair broken board under bed in residents downstairs bedroom. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).

Observed shower curtain collecting residue on second floor shwoer. Observed no papertowels at hand sink in upstairs restroom.All lavatories and baths shall be supplied with hot and cold running water through mixing devices. 15A NCAC 18A .1610 (b).Each resident will be provided soap and individual towels. These towels will be stored separately after being used. 15A NCAC 18A .1610 (b).

Observed wall damaged above shower basin in upstair restroom.All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Observed two utensils with debris stored as clean in kitchen drawer.All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).