Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 09/17/2024
Score: 99
#
Comments
Points
7.
Laundry sink is not clean. Paper towels are in the laundry room, but not at the sink. Assure sink is available to staff and cleaned regularly.
0.0
40.
Activity kitchen and included feeding area need general cleaning of surfaces. Towels are lacking at the handwashing sink. Keep handwashing sink stocked with paper towels. Paper towels were brought to the kitchen upon request.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 01/24/2024
Score: 97
#
Comments
Points
2.
.1310 (a) The wall and baseboard in room E3 was soiled and discolored. Walls shall be clean. CDI-Wall was cleaned.
1.0
7.
.1312 (a) Toilets in all spa rooms and resident rooms E1, E3, C1 and B6 were soiled with waste and discolored residues. Toilets must be clean at all times. CDI-Toilets were cleaned.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 03/27/2023
Score: 98.5
#
Comments
Points
7.
.1312 (a) The toilets in room D2 and the spa room were lightly soiled. Toilets shall be maintained clean. CDI-Toilets were cleaned during inspection.
1.0
32.
.1319 (a) Several chairs in the den and TV room had stains. Furniture shall be maintained clean and in good repair. Clean or replace the stained chairs.
0.5
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 01/24/2022
Score: 99
#
Comments
Points
8.
Toilet in spa room was soiled during time of inspection. Facility does not appear to be cleaning between patients. Toilet and bathing facilities shall be kept clean and in good repair. Ensure that toilet and bathing facilities are cleaned between patient uses.
1.0
General Comments
Due to COVID 19, Please follow CDC guidelines regarding social distancing, quarantine, and disinfecting.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 07/13/2021
Score: 95.5
#
Comments
Points
3.
Repair damaged walls as needed in hallways, resident rooms, utility rooms and spa rooms. Replace missing ceiling vent cover in den.
1.0
8.
Shower in the last spa room checked needed cleaning. A few of the shower chairs needed cleaning on the undersides.
1.0
9.
Remove storage from unused tubs in spa rooms.
0.0
14.
Disinfectants that are diluted through dispenser must be able to be tested with test strips. Facility has both premixed and mixed on site. Use only pre-mixed disinfectants for required items (EHS provided a copy of the rules) until test strips can be obtained.
0.0
26.
Mouse droppings observed in den cabinet. Remove droppings and monitor to determine if control is still needed.
1.0
32.
Couches and chairs in sitting areas need cleaning or stain removal. Repair television credenzas with missing knobs in sitting rooms.
1.0
40.
Foods stored in the activity kitchen were not labeled. All foods brought in by residents or staff must be labeled with name and date.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 08/20/2019
Score: 93.5
#
Comments
Points
2.
Clean or replace stained carpet as needed through out the facility.
0.0
3.
Repair and repaint walls in bathroom and resident rooms as needed.
1.0
6.
Ceiling vent in spa, spa chair and laundry room hand sink has evidence of microbial growth.
1.5
8.
Soiled and stained toilet seats under toilet seat risers in residents` rooms.Remove risers and clean all fixtures of the toilet during cleaning.
0.0
12.
Residents rooms not supplied with paper towels. Spa room and med room not supplied with paper towels. Provided paper towels at spa and med room.
1.5
24.
3 live cockroaches observed in the facility and droppings in cupboard in den area. Increase pest control measures.
1.5
28.
Storage rooms are stored with items stored on the floor. Patient care or consumable items shall be stored at least 8 inches off of the ground.
0.5
34.
Per maintenance manager all laundry is washed separately including linens, so disinfection is not required. A few sheets in residents`rooms are stained.
0.0
35.
Observed dirty brushes stored intermingled in the spa room. Patient contact items shall be cleaned and disinfected after each use.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 08/31/2018
Score: 94
#
Comments
Points
3.
Some resident window sills are dusty or have dark flaky debris. . Floor is separating from the shower / Gap present between shower and floor in the C HALL bathroom.
1.0
6.
Ceiling around the vent in the shower room A HALL is moldy.
1.5
8.
Handwashing Sink in a laundry room is extremely moldy. Extensive cleaning is needed. . Many handwashing sinks lack drainplugs; portion of the sink basin is missing. . One TOILET has no tank cover. . Some toilet seats are discolored, not secured properly (skewed to one side).
1.0
12.
Some resident apartments lack hand towels or paper towels at the handwashing sinks.
1.5
34.
Sheets and towels provided by the establishment for the residents` use do not appear to be properly disinfected. If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and
wash cloths shall be washed with a detergent in water at least 71°C (160°F) for 25 minutes. If low temperature (less than 71° C) laundry cycles are used, linens shall be washed in at least 50 parts per million chlorine -or- an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer`s instructions. No one present today can determine whether or not laundry is being disinfected. Solid Bleach dispensers are empty & blinking to indicate the need for replacement. Therefore the formerly established system is not being used but is still in place. HOMESTYLE SOLID LAUNDRY DETERGENT is the only product added for laundry. Management agreed to contact Ecolab next week to verify the product is adequate and obtain documentation.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 01/26/2018
Score: 97.5
#
Comments
Points
3.
Missing tile on floor in laundry room B/C. In shower room B/C, there is a missing baseboard tile. Walls damaged behind furniture in some common areas.
1.0
8.
Room A2 is missing toilet paper holder. Replace 1 missing toilet tank cover. Toilet facilities shall be kept in good repair.
0.0
28.
Patient contact items such as diapers stored on floor in several resident closets. Patient contact items shall be kept off of floor at least 8 inches.
0.5
32.
Several chairs and couches in common areas are heavily stained. All furniture shall be kept clean and in good repair.
1.0
43.
Activity room refrigerator did not contain a thermometer. Each refrigeration unit shall be provided with an indicating thermometer of such type and so situated that the thermometer can be easily read.
0.0
General Comments
Rooms A4, B1, B7, C3, D2, E7, F2 Checked. Utility rooms, med rooms, medication carts, rehabilitation room and storage rooms checked. Inspection completed by Jordan Jernigan and John Wulffert
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 01/10/2017
Score: 97
#
Comments
Points
8.
Several handwashing sinks lack drain covers, drain stoppers/plugs. Replace missing toilet tank covers. Shower in F hall/E hall constantly drips; repair needed
1.0
12.
One toilet room was lacking soap (dispenser completely empty & entire dispenser was replaced during inspection).
0.0
13.
Shower provided with water at a maximum of 89 degrees F after running for several minutes. Handwashing Sink supplied with water at a maximum of 95 degrees F. Invacare bathtub water is only 87F. Provide water between 100F and 116F.
2.0
34.
Sheets and towels provided by the establishment for the residents` use shall be properly disinfected. If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and wash cloths shall be washed with a detergent in water at least 71°C (160°F) for 25 minutes. If low temperature (less than 71° C) laundry cycles are used, linens shall be washed in at least 50 parts per million chlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer`s instructions.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 04/23/2015
Score: 92
#
Comments
Points
2.
Clean the soiled flooring in laundry rooms...Repair the small area of frayed carpeting in one sitting room.
0.0
4.
Observed that lighting in hallways, near linen storage closets, in storage rooms, etc. was 1.5 to 12 foot-candles (fc). Lighting in all areas shall be at least 10 fc at 30 inches above the floor.
0.0
5.
Clean the soiled/dusty ceiling vents and grates in some areas of facility.
0.0
6.
Observed possible mold/mildew growth on small portion of storage room wall and one ceiling vent grate. Clean and disinfect these areas/surfaces.
0.0
8.
Clean the soiled step-in tubs in common bath areas. NOTE: Although these tubs may not be used on a frequent basis, they shall be maintained clean...Clean and disinfect the several soiled emergency pull strings in bathrooms (by toilets)...Clean the soiled sides and edges of bathrooms doors. Also disinfect these surfaces.
1.0
13.
Observed hot water exceeded 116F in a few areas: 117F in E hall bathroom, 119F in Room F4, 117F in Room E1 and 120 in EF spa bathroom. Hot water at lavatories and bathing facilities shall be 100F to 116F.
1.0
21.
Replace the outside garbage dumpster that has rusted through. Observed trash is coming out of severely rusted out areas.
2.0
23.
Observed one medication cart with outer metal holder being used to dispose of some sharps and top opening had a fairly large opening for a hand to enter the container (no red sharps container was inside). Maintain the proper sharps container inside this metal holder.
1.0
30.
Observed some tall stacks of medication/water cups on med carts. Do not overstack these cups to keep them from falling over. Consider keeping them protected in their original plastic sleeves (with sleeves pulled up)...Clean the soiled cup holders on med carts.
0.0
32.
Clean the soiled chairs, including arm rests, backs of chairs and areas under upholstered cushions throughout the facility--in dining areas, common sitting areas, etc...Properly launder or replace the soiled pillows in residents` room.
1.0
34.
Sheets and towels provided by the establishment for the residents` use are not being properly disinfected. If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and
wash cloths shall be washed with a detergent in water at least 71°C (160°F) for 25 minutes. If low temperature (less than 71° C) laundry cycles are used, linens shall be washed in at least 50 parts per million chlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer`s instructions. NOTE: The enzyme laundry detergent currently used in the facility does not disinfect linens and towels.
1.0
36.
Clean the soiled undersides of cabinets in ABC and DEF servery kitchenettes. Also clean the soiled counter metal slats and areas below in serveries. Also clean the interiors, gaskets, etc. of hot towel boxes...In country kitchen, clean the soiled interiors of refrigerator/freezer.
1.0
General Comments
DISCUSSION ITEMS: Ensure all shower arms in common spa/shower areas are adequately protected with approved vacuum breakers/backflow prevention devices...Emergency water plan: Facilities director showed the potable water storage in case of outage in water supply. Ensure the following information is included in your emergency water supply plan >> The local health department shall be immediately notified if the primary water supply is interrupted for more than four hours. Each institution shall have a plan to obtain a backup water supply in the event that the water supply is lost for more than four hours. The backup water supply plan shall provide for two liters of water per day per person for drinking. The backup water supply plan shall include a plan for either relocating residents or providing an alternative source of water for essential functions such as food preparation, hand washing, bathing, cleaning, dishwashing, laundry and disposal of bodily waste. The amount of water provided for uses other than drinking may be reduced if the plan includes alternatives for water use for services such as laundry and dishwashing...RECOMMENDATION: Strongly recommend that facility and housekeeping staff are trained in bed bug detection and remediation.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 02/04/2014
Score: 94.5
#
Comments
Points
2.
Clean the soiled flooring in storage rooms, laundry rooms, water heater room, janitorial closets, etc.
1.0
3.
Replace the missing grout between floor tiles in mop sink/can wash by main kitchen so floor surfaces are smooth and easy to clean...Clean (and disinfect as needed) the soiled sides and edges of doors throughout facility.
0.0
5.
Clean the dusty ceiling vent grates/openings throughout facility.
0.0
6.
Observed mildew/mold on ceiling vent grate in B-side bathroom. Clean and disinfect this vent grate.
0.0
8.
Repair the damaged or broken toilet paper holders in common bathrooms and resident bathrooms so toilet paper can be dispensed from holders in a sanitary manner (without having to handle the entire roll)...Replace the damaged B-side fiberglass shower since the floor is damaged and in very poor repair...In D-hall bathroom, remove the sharp damaged piece of plastic from one shower wall.
1.0
12.
No soap was available at E-F bathroom and laundry room handsinks. Maintain soap at all handwash sinks. Also the E-bathroom paper towel dispenser does not sufficiently dispense towels. Replace batteries in dispenser so paper dispenses adequately OR in the meantime, place other paper towels in this bathroom until batteries can be replace.
1.5
22.
Observed many old plastic gloves, leaves and a few old mattresses on ground around dumpsters. Remove this material from this area and dispose of it properly. Also observed one pail outside near facility with standing water in it. Remove water from this pail.
0.0
28.
Observed some items stored on floor in storage closets and rooms. Elevate these items above floor to facilitate floor cleaning.
0.0
30.
Observed some pill and water cups being stored in soiled holders. Clean these holders...Clean the exteriors of one medication cart.
0.0
32.
Clean the soiled cloth, vinyl and wood upholstery and chairs throughout facility, including under seat cushions, rocking chairs, etc.
1.0
36.
Clean the soiled metal cupboard areas and doors under handsinks in ABC and DEF servery kitchenettes. Also clean the soiled counter metal slats and areas below in serveries...In family room kitchen, clean the soiled interiors of refrigerator/freezer, including the unit's doors.
1.0
General Comments
DISCUSSION ABOUT WASHING OF BED LINENS PROVIDED BY FACILITY: If hot water is used, linen including sheets, pillow cases, absorbent pads, towels and wash cloths provided by the facility shall be washed with a detergent in water at least 71?C (160?F) for 25 minutes. If low temperature (less than 71? C) laundry cycles are used, linens shall be washed in at least 50 parts per million chlorine or an EPA Listed laundry sanitizer shall be used in accordance with the manufacturer's instructions...Emergency water back-up plan is in place.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 09/01/2009
Score: 95
#
Comments
Points
1.
Repair or replace damaged floor cover in laundry rooms in the A hall and in the D and E hall.
1.0
3.
Repair the worn wall in medicine room in hall A. Stained/dirty walls and ceiling located around the mop sink in the E hall.
1.0
12.
The medicine room in hall A does not have a paper towel dispenser or paper towels. Provide. The medicine room in the D and E hall has no paper towels. Provide.
1.5
33.
Stained sheets and pillow cases on the beds in rooms E6 and in room C2.
1.0
43.
The refrigerator in the medicine room in the A hall is 49F. The refrigerator must be at or below 45F.
0.5
General Comments
Opened drink and unlabeled employee food in the refrigerator in the A,B and C wing. Label employee food and store on the bottom shelf. Remove the tape of the shelving in the refrigerator located on the F hall. 2 stained chairs in the den on the E hall. The linen closet on the C hall has a bedspread and a blanket stored on the floor. Store on shelving. The refrigerator is leaking in the activity kitchen located on the A,B and C wing. Hall A shower one light is blown. Replace. One vent is dirty in the craft room. Stained carpet in room E6. Clean more frequently.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 12/16/2008
Score: 94.5
#
Comments
Points
1.
Repair damaged floor cover in laundry room. Seal floor seams in resident bathrooms.
1.0
21.
Replace garbage and cardboard dunpsters with damaged lids.
2.0
28.
Keep items like adult diapers and wipes stored above the floor in stock room.
0.5
42.
Yogurt on med cart was 54 degrees F. Keep yogurt at a temp. of 45 degrees F.or less. Recommend keeping yogurt on cart on ice.
2.0
General Comments
Keep personal food items in servery coolers labeled. Store personal drinks below other food items in servery coolers. Do not leave opened personal drinks in servery coolers. Watch food product expiration dates in servery coolers. Ex: Milk. Cap barricade posts or drill holes in them to prevent standing water. Clean beneath shower chairs. Clean bottom of shower curtains.
Location: 7870 Chapel Hill RD CARY, NC 27513 Facility Type: Nursing Homes Inspection Date: 09/27/2007
Score: 93
#
Comments
Points
2.
Clean floors in hall bath/shower rooms. Ex: Around toilets. Clean and repair stained carpet areas around resident rooms. Clean floors beneath and around beds in resident rooms
1.0
5.
Clean bathroom and room ceiling vents and fans
1.0
8.
Clean tubs, showers, shower beches, and comodes in hall bathrooms.
1.0
12.
Soap and paper towels must be available at all facility handwash sinks. Ex: Paper towels were not available at lavatories in nurses station.must be available at all facility hand w
1.5
28.
Keep items like boxes of adult diapers stored above the floor in nurses station in C wing.
0.5
33.
Replace any bed linens that have permanent stains.
1.0
35.
Do not leave individual patient contact/toiletry items in community hall bathrooms. This will prevent confusion over the use of these items. Ex: Combs, Brushes, and Razors.
0.5
40.
Do not place opened food items back into community or med stock room refrigerators.
0.5
General Comments
Clean mattress and box springs on resident beds. Seal and replace torn floor covers in areas like laundry rooms. Vet records must be available for pets in facility. Recommend having baskets or hampers for dirty linens, towels, or clothing for residents rooms. Some residents are leaving these items on their bathroom floors. Keep items like hairdryers locked in cabinets in community bathrooms. One hairdryer was in bathtub in this area. Staff could monitor use of these items better by controling access. (Recommendation only)
