Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 02/12/2024
Score: 98
#
Comments
Points
5.
The vent in room 201 had dust buildup inside the filter.- Ventilation equipment shall be cleaned.
0.5
7.
In room 106, the faucet handle for hot water is leaking. The toilet was also soiled and needed cleaning.- Toilet facilities shall be clean and in good repair.
1.0
16.
Hot water was only 99-101 degrees throughout.- Hot water shall be between 105 and 116 degrees F.- CDI, the water was being worked on before my arrival.
0.0
33.
There was no label to tell which carts were for dirty or which was for clean.- Laundry carts shall be properly labeled clean or dirty.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 09/09/2022
Score: 95
#
Comments
Points
2.
Several floors were soiled in storage and laundry rooms and mop sink/can wash basins...Flooring shall be maintained clean...Increase floor cleaning frequency.
1.0
3.
Observed soiled walls and ceilings in laundry room (including pipes, conduits, cords, etc.) and behind dryers. At least one ceiling tile was stained in medication room. Several sides/edges of doors throughout facility were soiled...Walls and ceilings shall be maintained clean...Increase cleaning frequency of surfaces above and replace damaged ceiling tile.
1.0
4.
One ceiling light fixture in housekeeping mop sink room was not illuminated properly (very dim under that light)...Lighting shall be at least 10 foot candles at 30 inches above the floor in storage areas...Repair/replace light fixture so it illuminates properly.
0.0
5.
Some ceiling vent grates and light shields were soiled/dusty in laundry room and other areas. Wall HVAC unit in OT room had dusty front vent openings...Lighting and ventilation shall be maintained clean...Increase cleaning frequency of fixtures above.
1.0
8.
Toilet seat in whirlpool/shower room was loose...Toilet facilities shall be maintained in good repair...Resecure loose toilet seat.
0.0
11.
Handsink in soiled linen room (for soiled linen and trash can storage) had many pillows stacked inside sink basin (sink was not easily accessible)...Handsinks shall be used only for handwashing...Remove pillows and other items from inside/around handsink so it is available for handwashing when needed.
1.0
21.
One dumpster lid was cracked...Trash/solid waste shall be kept in leak-proof, non-absorbent container, and kept covered with tight-fitting lids when stored...Replace the cracked dumpster lid.
0.0
30.
On med carts checked, bottoms of several medication drawers were soiled and with crumbs. Paper toweling was at bottom of one drawer (paper not easy to clean). Disposable spoons were stored with food contact sides up in a reused cardboard box...Medication carts shall be kept clean and disposable utensils shall be stored to prevent contamination...Increase cleaning frequency of med carts and store spoons in cleanable, nonabsorbent container with handles up. Remove paper toweling from bottom of med cart drawer. Consider using nonabsorbent easily cleanable trays for storing bottles that may drip.
1.0
General Comments
Due to COVID 19, Please follow current CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 07/29/2021
Score: 99
#
Comments
Points
3.
.1310 Observed paint rubbing off from beds hitting the wall in room 202. The walls and ceilings of all rooms and areas shall be kept clean and in good repair.
1.0
General Comments
-Bed pans stored on the floor in the storage area near laundry room Please move them higher. -Please clean A/C filters in room 209. -Please clean the inside of bathtub & whirlpool (not being used but still need to kept clean). -Please clean the floor under nightstands in room 112. Inspection led by Nikia Lawrence
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 01/12/2021
Score: 95.5
#
Comments
Points
3.
.1310 Brown water stains on some ceiling tiles throughout the facility. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. All walls shall be easily
cleanable and shall have washable surfaces to the highest level reached by splash or spray in rooms or areas where
such occur. Replace tiles as necessary.
0.0
5.
.1311 (b) Dust accumulation on ceiling HVAC vent by the medication room where the hallways meet. Dust on vent in employee restroom. Ventilation equipment shall be kept clean and in good repair.
Clean vents.
1.0
11.
.1312 (a) Pillow stored in one of the basins of the two basin sink in the laundry room. All institutions shall be provided with toilet, handwashing, and bathing facilities that are conveniently located
and readily accessible to residents and staff. These facilities, and laundry facilities when provided, shall be kept
clean and in good repair. Keep sink accessible and do not store items in sink.
1.0
12.
.1312 (d) Hand sink in shower room by the med room where the hallways come together lacking hand soap. All lavatories shall be supplied with hot and cold running water through a mixing faucet, or with tempered warm water,
soap, and sanitary towels or hand-drying devices. Soap placed in dispenser. Issue mentioned on last inspection.
1.5
30.
.1318 Spoons used for medication carts in the medication storage room next to the shower room where the halls come together stored in direct contact with a wooden drawer. Spoons not wrapped and mouth contact portions facing different directions. Single service items shall be protected in storage and on the medication carts. Use individually wrapped spoons, or store in a clean, washable container with handles in the same direction.
1.0
34.
.1319 One of the clean linen carts in the laundry room lacking a label. Soiled laundry shall be handled and stored
separately from clean laundry using separate cleanable carts or bags. Carts used for soiled laundry shall be labeled
for soiled laundry use only. Label cart.
0.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 02/03/2020
Score: 92.5
#
Comments
Points
3.
(.1310) The walls are worn behind the beds in room 211. Water damaged ceiling tiles in medicine room and the rehabilitation closet. Walls and ceilings shall be in good repair.
0.0
5.
(.1311) The HAVC unit in room 211 has a lot of debris inside it above the air filters. Ventilation equipment shall be kept clean.
0.0
8.
(.112)The hand sink in the soiled utility room is turned off. Hand washing facilities shall be in good repair. The hand sink was repaired during the inspection. The toilet seat is worn in the shower/whirl pool room. Toilet facilities shall be in good repair. The toilet is soiled in rooms 216 and 116. Toilets shall be kept clean.
1.0
11.
Pillows stored in the hand sink in the soiled utility room. Room 117 and room 211 have linens stored in the hand sinks. (.1312) Handwashing facilities shall be accessible to all areas where personnel may be exposed to bodily excretions or secretions and in sterile supply processing areas, medication rooms, laundry areas, and soiled utility rooms. The linens and pillows were removed from the hand sinks,during the inspection.
1.0
12.
(.1312) No paper towels at the hand sink in the soiled utility room. Paper towels or hand drying device shall be provided at hand sinks. No hand soap at the hand sink in bathing room one. Hand soap shall be provided at hand sinks. Hand soap was provided by the end of the inspection.
1.5
17.
(.134) The drinking fountain water is below the mouth guard. Drinking fountains shall be regulated so the water is above the mouth guard.
1.0
30.
(.1318) On the medication cart, the cups were not in a protective covering. Please keep unused cups in original packaging or some other method to prevent contamination.( Repeat)
1.0
34.
(.1319) The laundry area did not have the carts labeled for dirty and clean. Please post a label for which ones are for clean and which ones are for dirty so no cross contamination can occur. [Repeat]
2.0
35.
(.1319) Disposable briefs stored on the floor in main supply room. Keep all patient contact items off the floor on shelving or in a cabinet. The briefs were moved to a shelf, during the inspection.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 02/15/2019
Score: 98
#
Comments
Points
3.
(.1310) The bathroom wall in room 112 is in need of repainting and where the headboard was removed needs to be repainted or sanded down.
1.0
5.
(.1311) In room 106 there was a lot of dust buildup in the air vent. Please clean out air vent.
0.0
30.
(.1318) On the medication cart, the cups were not in a protective covering. Please keep unused cups in original packaging or some other method to prevent contamination.
0.0
32.
(.1319) In room 112 there was a drawer that was missing a handle and was off of its hinges. Please repair.
0.0
34.
(.1319) The laundry area did not have the carts labeled for dirty and clean. Please post a label for which ones are for clean and which ones are for dirty so no cross contamination can occur.
1.0
42.
(.1323) On medication carts we mentioned having some kind of procedure to throw out unused protein, that contained milk, for tube feeding every 2 hours. The protein formula was at 67 degrees F today while on the medication cart.
0.0
General Comments
Inspection by Rena Nicole Bailey and Observed by Jennifer Moore
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 03/08/2018
Score: 98.5
#
Comments
Points
3.
Repair damaged walls as needed in rooms and bathrooms.
1.0
10.
Two bedpans observed not labeled today. CNA said they sometimes wipe out bedpans with disinfectant wipes, dispose if they would be difficult to clean. Bedpans must be labeled if used more than once. Must have spray arms in bathrooms if cleaning bedpans in the bathrooms, otherwise they must go to the soiled utility room where there is a sink with a spray arm.
0.5
14.
Keep cleaner/disinfectant available in the shower room to disinfect between patients. Nurses said that they do disinfect between each patient but that they use wipes from the med carts.
0.0
32.
Cleaning needed below couch cushions at the sitting area at the end of the hall.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 02/23/2017
Score: 97
#
Comments
Points
3.
Room 109 , 115, 117 and possibly more rooms have damaged walls where the beds are positioned. Please repair and repaint damaged walls and peeling paint. REPEAT
1.0
30.
Found single service cups placed near hand sanitizer and cups without covering. Items like these need protection from miscellaneous sources of contamination.
0.0
42.
Mini-refrigerator (gray fridge) had a temperature above 45F as well as milk products above 45. Potentially hazardous foods must be held at 45F or lower if being held cold. Either adjust temperature in fridge, replace fridge, or store foods in a different area. Foods were moved to a different refrigerator for cooling and proper storage.
2.0
General Comments
Keep test strips in mop sink area to test strength of disinfectant. Do not use disinfectant on furniture where patients eat food on like tables.
Location: 509 W GANNON AVE ZEBULON, NC 27597-2509 Facility Type: Nursing Homes Inspection Date: 05/13/2016
Score: 97
#
Comments
Points
3.
In rooms 106, 112, 202, 209, and 211 the wallpaper is peeling. In the restrooms in rooms 111, and 115 the paint on the wall is peeling. In room 112 the paint is peeling off the wall. In room 211 the base cove in the restroom is coming off the wall. All
2.0
5.
Clean the windows in rooms 209, 211, 202, and 115 to remove the heavy build up on the windows. Clean the blinds. Clean the light covers throughout the facility to remove the dead bugs.
1.0
General Comments
They have bottled water and Gordon Food Service will bring in more water if needed for a backup water supplies. 8. In room 211 the faucet handle is starting to corrode around the base.
